Provider Demographics
NPI:1003836859
Name:CY-FAIR VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:CY-FAIR VOLUNTEER FIRE DEPARTMENT
Other - Org Name:CY-FAIR VOLUNTEER FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT CHIEF - EMS
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:NRP, BS
Authorized Official - Phone:281-550-6663
Mailing Address - Street 1:9630 TELGE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5113
Mailing Address - Country:US
Mailing Address - Phone:281-550-6663
Mailing Address - Fax:281-550-7288
Practice Address - Street 1:9630 TELGE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5113
Practice Address - Country:US
Practice Address - Phone:281-550-6663
Practice Address - Fax:281-550-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010843416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000090301Medicaid
TX505881OtherBC/BS OF TEXAS
TX000090301Medicaid
TX505881Medicare PIN