Provider Demographics
NPI:1265750814
Name:POWELL SAFETY INCORPORATED
Entity type:Organization
Organization Name:POWELL SAFETY INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO EMT-B
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:361-727-2071
Mailing Address - Street 1:PO BOX 2193
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:TX
Mailing Address - Zip Code:78358-2193
Mailing Address - Country:US
Mailing Address - Phone:361-727-2071
Mailing Address - Fax:361-727-2071
Practice Address - Street 1:810 HENDERSON BLDG C
Practice Address - Street 2:STE 1
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-6829
Practice Address - Country:US
Practice Address - Phone:361-727-2071
Practice Address - Fax:361-727-2071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004383416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport