Organization
GROVETON EMERGENCY MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROBISON (OWNER/ADMINISTRATOR)
(936) 642-1212
Entity
Organization
Contact information
Practice address
200 W SECOND ST, GROVETON, TX 75845-7700
(936) 642-1212
(936) 642-0191
Mailing address
PO BOX 691363, HOUSTON, TX 77269-1363
(281) 397-0397
(281) 397-6934
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
228003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140465901
—
TX
01
—
590014557
RAILROAD MEDICARE
TX
Enumeration date
07/14/2006
Last updated
01/06/2017
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