Organization
CITY OF HUMBLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT WATKINS (AO)
(281) 446-2212
Entity
Organization
Contact information
Practice address
114 W HIGGINS ST, HUMBLE, TX 77338-4305
(281) 446-7889
(281) 446-7491
Mailing address
114 W HIGGINS ST, HUMBLE, TX 77338-4305
(281) 446-7889
(281) 446-7491
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
101087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000183601
—
TX
01
—
10020671
AMERIGROUP
TX
01
—
507597
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/01/2006
Last updated
02/19/2024
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