Organization
CITY OF THORNDALE
Active
Other names
Thorndale Volunteer EMS
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL TOWERY (EMS COORDINATOR)
(512) 898-2523
Entity
Organization
Contact information
Practice address
105 N MAIN, THORNDALE, TX 76577
(512) 898-2523
(816) 431-4973
Mailing address
PO BOX 308, THORNDALE, TX 76577-0308
(512) 898-2523
(816) 431-4973
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1661001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167052301
—
TX
01
—
502598
BCBS TX
TX
Enumeration date
06/10/2005
Last updated
11/21/2011
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