Organization
CITY OF SOUTHLAKE TEX
Active
Other names
Southlake Dept Of Public Safety
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D STARR EMTP (CHIEF, SOUTHLAKE DPS)
(817) 748-8146
Entity
Organization
Contact information
Practice address
667 N CARROLL AVE, SOUTHLAKE, TX 76092-6412
(817) 748-8328
(817) 748-8048
Mailing address
600 STATE ST, SOUTHLAKE, TX 76092-7669
(817) 748-8328
(817) 748-8048
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
220028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
513783
BC/BS
TX
Enumeration date
08/31/2006
Last updated
01/11/2012
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