Organization
CITY OF CARROLLTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GLENN (CHIEF)
(972) 466-3070
Entity
Organization
Contact information
Practice address
1945 E JACKSON RD, CARROLLTON, TX 75006-1737
(972) 466-4746
(972) 389-9523
Mailing address
PO BOX 115125, CARROLLTON, TX 75011
(972) 466-4746
(972) 389-9523
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
057012
TX
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0863458-01
—
TX
01
—
=========
FEDERAL TAX ID
TX
Enumeration date
03/07/2007
Last updated
10/24/2024
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