Organization
CHAD FUSSELL
Active
Other names
PROTEC AMBULANCE TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD FUSSELL (PRESIDENT)
(936) 827-7770
Entity
Organization
Contact information
Practice address
13239 LAKE BREEZE LN, WILLIS, TX 77318-5327
(936) 827-7770
(936) 890-5708
Mailing address
13239 LAKE BREEZE LN, WILLIS, TX 77318-5327
(936) 827-7770
(936) 890-5708
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
800078
TX
Other
Enumeration date
06/18/2006
Last updated
07/26/2007
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