Organization
TRI CITY EMERGENCY MEDICAL SERVICE INC
Active
Organization
TRI CITY EMERGENCY MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E DICKSON LICENSED PARAMEDIC (EMS COORDINATOR)
(940) 859-3488
Entity
Organization
Contact information
Practice address
111 EAST CROCKETT ST, GORDON, TX 76453
(940) 859-3488
Mailing address
PO BOX 271, GORDON, TX 76453-0271
(940) 859-3488
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
182005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182005
EMS PROVIDER LICENSE
TX
Enumeration date
10/18/2012
Last updated
09/08/2015
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