Organization
CITY OF MESQUITE
Active
Other names
CITY OF MESQUITE FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN THOMAS STAPLES PARAMEDIC (DEPUTY FIRE CHIEF)
(972) 216-6465
Entity
Organization
Contact information
Practice address
1515 N GALLOWAY AVE, MESQUITE, TX 75149-2359
(972) 216-6267
(972) 329-8315
Mailing address
1515 N GALLOWAY AVE, MESQUITE, TX 75149-2359
(972) 216-6267
(972) 329-8315
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
057030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086455501
—
TX
01
—
503832
BLUE CROSS BLUE SHIELD
TX
01
—
590539394
RAILROAD MEDICARE
TX
Enumeration date
02/02/2007
Last updated
07/14/2021
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