Organization
JEFFERSON COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Active
Organization
JEFFERSON COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK L LARSON (DISTRICT ADMINISTRATOR)
(409) 273-5050
Entity
Organization
Contact information
Practice address
12880 FM 365 RD, BEAUMONT, TX 77705-9682
(409) 273-5050
Mailing address
12880 FM 365 RD, BEAUMONT, TX 77705-9682
(409) 273-5050
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000994
TEXAS HHS EMERGENCY MEDICAL SERVICES PROVIDER LICENSE
TX
Enumeration date
12/11/2018
Last updated
01/30/2019
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