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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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