| NPI | 1215958863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA P VANDEVER EMS Director 979-968-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport |
| Additional Taxonomies | 341600000X Ambulance (Licence: TX 75001) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-02-24 |