Organization
CITY OF BENBROOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY DAVIS (FIRE CHIEF)
(817) 249-1727
Entity
Organization
Contact information
Practice address
528 MERCEDES ST, BENBROOK, TX 76126-2521
(817) 249-1727
(817) 249-0884
Mailing address
PO BOX 26569, BENBROOK, TX 76126-0569
(817) 249-3000
(817) 249-0884
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
220022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086550301
—
TX
Enumeration date
05/31/2005
Last updated
10/21/2022
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