Organization
SOUTH PADRE ISLAND FIRE/EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BURNEY BASKET (FIRE CHIEF)
(972) 650-0953
Entity
Organization
Contact information
Practice address
4601 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7325
(972) 650-0953
(972) 650-2033
Mailing address
110 W. VENUS, SOUTH PADRE ISLAND, TX 78597
(972) 650-0953
(972) 650-2033
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
TX
3416L0300X
Land Ambulance
Primary
—
TX
3416S0300X
Water Ambulance
—
TX
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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