Provider Demographics
NPI:1841208154
Name:TOWN OF HIGHLAND PARK
Entity Type:Organization
Organization Name:TOWN OF HIGHLAND PARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF FISCAL & HUMAN RESOURCES
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-521-4161
Mailing Address - Street 1:4700 DREXEL DRIVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:TX
Mailing Address - Zip Code:75205-3107
Mailing Address - Country:US
Mailing Address - Phone:214-521-4161
Mailing Address - Fax:214-559-9348
Practice Address - Street 1:4700 DREXEL DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:TX
Practice Address - Zip Code:75205-3107
Practice Address - Country:US
Practice Address - Phone:214-521-4161
Practice Address - Fax:214-559-9348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0570213416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX16600001Medicaid
TX16600001Medicaid