Provider Demographics
NPI:1477963239
Name:CITY OF LUCAS
Entity Type:Organization
Organization Name:CITY OF LUCAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-727-1242
Mailing Address - Street 1:PO BOX 180446
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-0446
Mailing Address - Country:US
Mailing Address - Phone:877-602-2060
Mailing Address - Fax:800-608-9457
Practice Address - Street 1:165 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:LUCAS
Practice Address - State:TX
Practice Address - Zip Code:75002-7663
Practice Address - Country:US
Practice Address - Phone:972-727-1242
Practice Address - Fax:800-608-9457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10009293416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000929OtherLICENSE