Organization
EAST COKE CO. AMBULANC SRV.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAN MAGNESS (TREASURER)
(325) 453-2511
Entity
Organization
Contact information
Practice address
113 S.WASHINGTON, BRONTE, TX 76933
(325) 453-2544
Mailing address
PO BOX 357, BRONTE, TX 76933-0357
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
041004
TX
Other
Enumeration date
06/20/2005
Last updated
08/22/2020
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