Organization
SAM BASS FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN P LAAKE (REPRESENTATIVE)
(281) 397-0397
Entity
Organization
Contact information
Practice address
16284 GREAT OAKS DR, ROUND ROCK, TX 78681
(512) 255-0100
Mailing address
PO BOX 691363, HOUSTON, TX 77269-1363
(281) 397-0397
(281) 397-6934
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
245017
TX
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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