Organization
GEORGETOWN AMBULANCE SE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LAAKE (AUTHORIZED AGENT)
(281) 397-0397
Entity
Organization
Contact information
Practice address
2000 SCENIC DRIVE, GEORGETOWN, TX 78626
(512) 942-4262
(512) 942-4138
Mailing address
PO BOX 691363, HOUSTON, TX 77269-1363
(281) 397-0397
(281) 397-0007
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1635669
—
LA
Enumeration date
03/14/2006
Last updated
08/22/2020
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