Organization
CITY OF BEDFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SMITHWICK (AO)
(817) 952-2500
Entity
Organization
Contact information
Practice address
1816 BEDFORD ROAD, BEDFORD, TX 76021
(817) 952-2500
(817) 952-2540
Mailing address
1816 BEDFORD ROAD, BEDFORD, TX 76021
(817) 952-2500
(817) 952-2540
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
220003
TX
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086511501
—
TX
01
—
504224
BC/BS OF TEXAS
—
01
—
826590259
RAILROAD MEDICARE
—
Enumeration date
05/28/2006
Last updated
05/08/2025
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