Organization
CYPRESS CREEK EMERGENCY MEDICAL SERVICES ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WRENDELL RE NEALY JR. (CEO)
(281) 378-0800
Entity
Organization
Contact information
Practice address
7111 FIVE FORKS DR, SPRING, TX 77379-4101
(281) 378-0800
(281) 655-0414
Mailing address
PO BOX 650998 HOU1097, DALLAS, TX 75265-0998
(281) 378-0800
(281) 655-0414
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000057201
—
TX
01
—
AMB001
BLUE CROSS AND BLUE SHIELD OF TEXAS
TX
Enumeration date
06/13/2006
Last updated
03/19/2021
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