Organization
TERRELL COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGAN JOLYNN JOHNSON (EMS DIRECTOR)
(432) 345-2727
Entity
Organization
Contact information
Practice address
105 EAST OAK ST., SANDERSON, TX 79848
(432) 345-2525
(432) 345-2740
Mailing address
PO BOX 116, SANDERSON, TX 79848-0116
(432) 345-2727
(432) 345-2727
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
222001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000012702
—
TX
01
—
P01051525
RAILROAD MEDICARE
TX
Enumeration date
03/18/2008
Last updated
02/05/2018
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