Organization
PECAN PLANTATION VOLUNTEER FIRE DEPT & EMERGENCY MEDICAL SVCS, INC
Active
Other names
Pecan Plantation EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S GREIF (EXECUTIVE DIRECTOR)
(817) 573-1643
Entity
Organization
Contact information
Practice address
9518 MONTICELLO DR, GRANBURY, TX 76049-4508
(817) 573-1643
(817) 579-6888
Mailing address
9518 MONTICELLO DR, GRANBURY, TX 76049-4508
(817) 573-1643
(817) 579-6888
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
111004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140463401
—
TX
01
—
AMB561
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/14/2006
Last updated
02/07/2025
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