Organization
CITY OF BALMORHEA
Active
Other names
Balmorhea Volunteer EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD EUGENE FREDERICK JR. EMT-P (EMS DIRECTOR)
(432) 375-2307
Entity
Organization
Contact information
Practice address
310 S SAN ANTONIO, BALMORHEA, TX 79718
(432) 375-2307
(432) 375-2200
Mailing address
PO BOX 323, BALMORHEA, TX 79718
(432) 375-2307
(432) 375-2200
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
195003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000063001
—
TX
Enumeration date
11/13/2006
Last updated
06/01/2011
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