Provider Demographics
NPI:1417467812
Name:HARRIS COUNTY EMERGENCY SERVICES NO4
Entity Type:Organization
Organization Name:HARRIS COUNTY EMERGENCY SERVICES NO4
Other - Org Name:HUFFMAN EMS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ASSISTANT CHIEF-EMS
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:NANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-289-5613
Mailing Address - Street 1:PO BOX 1028
Mailing Address - Street 2:
Mailing Address - City:HUFFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:77336-1028
Mailing Address - Country:US
Mailing Address - Phone:281-913-6100
Mailing Address - Fax:281-324-3881
Practice Address - Street 1:54 IVY LEAF DR
Practice Address - Street 2:
Practice Address - City:HUFFMAN
Practice Address - State:TX
Practice Address - Zip Code:77336-3301
Practice Address - Country:US
Practice Address - Phone:281-913-6100
Practice Address - Fax:281-324-3881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10009713416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport