Organization
CITY OF COLLEGE STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA VARNER (ASST. EMS CHIEF)
(979) 764-3705
Entity
Organization
Contact information
Practice address
300 KRENEK TAP RD, COLLEGE STATION, TX 77840-5023
(979) 764-3705
Mailing address
PO BOX 223783, DALLAS, TX 75222-3783
(979) 764-3705
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
021004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
CHAMPUS VA CENTER
CO
01
—
0000
CHAMPUS RETIRED MILITARY
SC
01
—
0000
CHAMPUS FOUNDATION HEALTH
WI
01
—
000053101
AMERIGROUP - MEDICAID
VA
05
—
000053101
—
TX
01
—
0009728
HARRIS METHODIST HEALTH P
NE
01
—
103014100
FIRST CARE HMO
TX
01
—
505305
CLAREDON CHIPS PROGRAM
TX
01
—
60054
AETNA HEALTH PLANS OF TEX
TX
01
—
8541632
AETNA
KY
01
—
8541632
FEDERAL BLUE
TX
01
—
95266
HARRINGTON BNEFITS SE
CO
Enumeration date
07/08/2006
Last updated
01/05/2026
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