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Organization

COUNTY OF COOKE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WESLEY REED (CHIEF)
(409) 668-5560
Entity
Organization

Contact information

Practice address
301 W CHURCH ST, GAINESVILLE, TX 76240-4768
(940) 668-5560
(940) 665-5287
Mailing address
305 S CHESTNUT ST, GAINESVILLE, TX 76240-4707
(940) 668-5560
(940) 665-5287

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
049004
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
049004
DSHS
TX
05
1316932239
TX
Enumeration date
09/16/2005
Last updated
06/12/2024
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