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Organization

LAKE JACKSON EMERGENCY MEDICAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER SERMARINI NRP (CHIEF/EXECUTIVE DIRECTOR)
(979) 415-2714
Entity
Organization

Contact information

Practice address
10 OAK DRIVE SUITE B, LAKE JACKSON, TX 77566
(979) 415-2714
(979) 285-0252
Mailing address
10 OAK DRIVE SUITE B, LAKE JACKSON, TX 77566
(979) 415-2714
(979) 285-0252

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
20014
TX
3416L0300X
Land Ambulance
Primary
020014
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000731201
TX
Enumeration date
06/06/2006
Last updated
07/22/2021
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