Organization
ANAHUAC EMERGENCY CORPS
Active
Other names
Anahuac Volunteer Emergency Corps
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK W WILSON (EMTP SUPERVISOR)
(409) 267-6080
Entity
Organization
Contact information
Practice address
511 MILLER STREET, ANAHUAC, TX 77514-1410
(409) 267-6080
(409) 267-4247
Mailing address
511 MILLER STREET, ANAHUAC, TX 77514-1410
(409) 267-6080
(409) 267-4247
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
036001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0870131-01
—
TX
01
—
087013101
RR MEDICARE
TX
01
—
512191
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/18/2007
Last updated
07/09/2009
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