City of Southlake Tex

NPI #1982716056 in Southlake, Texas

Provider Information

NPI Number
1982716056
Entity Type
Organization
Organization Name
City of Southlake Tex
Primary Specialty
Ambulance - Land Transport
Enumeration Date
Aug 31, 2006
Last Updated
Jan 11, 2012

Practice Location

Address
667 N CARROLL AVE
State
Texas
ZIP Code
76092-6412
Phone
(817) 748-8328

Authorized Official

Name
MICHAEL D STARR, EMTP
Title
CHIEF, SOUTHLAKE DPS
Phone
(817) 748-8146

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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