Organization
CITY OF KINGSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CREEK (CAPTAIN)
(361) 592-6445
Entity
Organization
Contact information
Practice address
119 N 10TH ST, KINGSVILLE, TX 78363-4622
(361) 592-6445
(361) 595-4798
Mailing address
PO BOX 1458, KINGSVILLE, TX 78364-1458
(361) 595-8009
(361) 595-8035
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
137001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086178301
—
TX
01
—
10011752
AMERIGROUP
TX
01
—
590482041
RAILROAD MEDICARE
TX
Enumeration date
10/26/2006
Last updated
12/08/2025
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