Organization
CITY OF BOWIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS PAGE (EMS ADMINISTRATOR)
(940) 872-2122
Entity
Organization
Contact information
Practice address
203 WALNUT ST, BOWIE, TX 76230-4840
(940) 872-2122
(940) 872-6544
Mailing address
304 LINDSEY ST, BOWIE, TX 76230-4912
(940) 872-2122
(940) 872-6544
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
169006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000047301
—
TX
01
—
505146
BC/BS OF TEXAS
TX
Enumeration date
07/26/2006
Last updated
05/24/2018
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