Organization
FORT BEND COUNTY
Active
Other names
FORT BEND COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PETRILLA (ASSISTANT CHIEF)
(281) 633-7096
Entity
Organization
Contact information
Practice address
4332 HIGHWAY 36 S, ROSENBERG, TX 77471-9108
(281) 633-7085
Mailing address
5855 SIENNA SPRINGS WAY STE 208, MISSOURI CITY, TX 77459-7399
(281) 633-7092
(281) 633-7060
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086395301
—
TX
Enumeration date
02/01/2006
Last updated
03/30/2022
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