Organization
BRAZOS EVENT EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN NOYNAERT (OWNER)
(979) 229-5886
Entity
Organization
Contact information
Practice address
17529 HIGHWAY 6 S, COLLEGE STATION, TX 77845-8465
(979) 229-5886
Mailing address
4108 POMEL DR, COLLEGE STATION, TX 77845-6148
(979) 229-5886
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000239
TDH LICENSE
TX
Enumeration date
10/16/2009
Last updated
07/09/2010
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