Provider Demographics
NPI:1750323556
Name:CITY OF GARLAND TEXAS
Entity Type:Organization
Organization Name:CITY OF GARLAND TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFE-REVENUE RECOVERY
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-205-2686
Mailing Address - Street 1:PO BOX 733881
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3881
Mailing Address - Country:US
Mailing Address - Phone:833-810-5004
Mailing Address - Fax:888-972-9641
Practice Address - Street 1:200 N 5TH ST
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-6314
Practice Address - Country:US
Practice Address - Phone:972-205-2000
Practice Address - Fax:972-205-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0570603416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109575401Medicaid
TX826590714OtherRAILROAD MEDICARE
TX505241OtherBLUE CROSS BLUE SHIELD
TX505241Medicare PIN