Organization
CHANNELVIEW VOLUNTEER FIRE D
Active
Other names
Channelview Volunteer Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN P LAAKE (AUTHORIZED AGENT)
(281) 397-0397
Entity
Organization
Contact information
Practice address
16010 RIDLON ST, CHANNELVIEW, TX 77530-3614
(281) 452-5782
(281) 452-2100
Mailing address
PO BOX 691363, HOUSTON, TX 77269-1363
(281) 397-0397
(281) 397-6934
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000258601
—
TX
05
—
1635642
—
LA
01
—
509427
BCBS OF TEXAS
TX
Enumeration date
05/08/2007
Last updated
01/27/2009
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