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Organization

WYLIE FIRE-RESCUE

Active
Other names
Wylie Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT LYNN BALLARD (ADMINISTRATIVE CAPTAIN)
(972) 442-8110
Entity
Organization

Contact information

Practice address
801A SOUTH HWY. 78, 204, WYLIE, TX 75098
(972) 442-8110
(972) 442-8113
Mailing address
801A SOUTH HWY. 78, 204, WYLIE, TX 75098
(972) 442-8110
(972) 442-8113

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
300262
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300262
TEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS PROVIDER NUMBER
TX
Enumeration date
02/25/2010
Last updated
02/25/2010
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