Organization
CITY OF GROOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TACY LAMB (EMS DIRECTOR)
(806) 248-7003
Entity
Organization
Contact information
Practice address
203 BROADWAY AVE, GROOM, TX 79039
(806) 248-7003
(806) 820-0191
Mailing address
8300 BISSONNET ST, SUITE 205, HOUSTON, TX 77074-3900
(713) 773-4355
(713) 773-4363
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
033001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189120201
—
TX
Enumeration date
03/19/2007
Last updated
05/08/2018
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