Provider Demographics
NPI:1083049258
Name:PARKER COUNTY ESD # 1
Entity Type:Organization
Organization Name:PARKER COUNTY ESD # 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUMLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-523-7598
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082-0323
Mailing Address - Country:US
Mailing Address - Phone:817-523-7598
Mailing Address - Fax:817-220-7598
Practice Address - Street 1:315 MORROW RD
Practice Address - Street 2:
Practice Address - City:SPRINGTOWN
Practice Address - State:TX
Practice Address - Zip Code:76082-7167
Practice Address - Country:US
Practice Address - Phone:817-523-7598
Practice Address - Fax:817-220-7598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800461146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX800461OtherTDH FIRST RESPONDER