Chad Fussell

NPI #1750326229 in Willis, Texas

Provider Information

NPI Number
1750326229
Entity Type
Organization
Organization Name
Chad Fussell
Primary Specialty
Ambulance
Enumeration Date
Jun 18, 2006
Last Updated
Jul 26, 2007

Practice Location

Address
13239 LAKE BREEZE LN
City
Willis
State
Texas
ZIP Code
77318-5327
Phone
(936) 827-7770

Authorized Official

Name
MR. CHAD FUSSELL
Title
PRESIDENT
Phone
(936) 827-7770

Specialties & Taxonomy Codes

Specialty
Ambulance

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