Organization
WYLIE FIRE-RESCUE
Active
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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