Organization
VILLAGE FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLO CONTRERAS-LONGORIA (ADMINISTRATOR)
(713) 468-7941
Entity
Organization
Contact information
Practice address
901 CORBINDALE RD, HOUSTON, TX 77024-2805
(713) 468-7941
Mailing address
901 CORBINDALE RD, HOUSTON, TX 77024-2805
(713) 468-7941
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000279201
—
TX
01
—
509861
BC/BS OF TEXAS
TX
01
—
509861
RAILROAD MEDICARE
—
01
—
602915500
US DOL PROVIDER ID
—
Enumeration date
07/19/2006
Last updated
08/25/2023
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