Organization
WESTON DAVIS
Active
Other names
Eagle Ambulance LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESTON K DAVIS EMTP (OWNER)
(832) 205-3180
Entity
Organization
Contact information
Practice address
4922 COTTON LAKE RD, BAYTOWN, TX 77520-9820
(832) 205-3180
(281) 303-0294
Mailing address
PO BOX 1499, MONT BELVIEU, TX 77580-1499
(832) 205-3180
(281) 303-0294
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191339401
—
TX
01
—
AMB905
BCBS
TX
Enumeration date
08/27/2007
Last updated
06/18/2008
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