Provider Demographics
NPI:1245795590
Name:GALVESTON COUNTY EMERGENCY SERVICES DISTRICT -2
Entity Type:Organization
Organization Name:GALVESTON COUNTY EMERGENCY SERVICES DISTRICT -2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:409-684-2016
Mailing Address - Street 1:PO BOX 1575
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL BEACH
Mailing Address - State:TX
Mailing Address - Zip Code:77650-1575
Mailing Address - Country:US
Mailing Address - Phone:409-684-2016
Mailing Address - Fax:
Practice Address - Street 1:930 NOBLE CARL DRIVE
Practice Address - Street 2:
Practice Address - City:CRYSTAL BEACH
Practice Address - State:TX
Practice Address - Zip Code:77650
Practice Address - Country:US
Practice Address - Phone:409-684-2016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
No341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty