Provider Demographics
NPI:1437994274
Name:WALLER-HARRIS COUNTY EMERGENCY SERVICES DISTRICT 200
Entity type:Organization
Organization Name:WALLER-HARRIS COUNTY EMERGENCY SERVICES DISTRICT 200
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GOUDIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-684-2975
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-0510
Mailing Address - Country:US
Mailing Address - Phone:832-684-2975
Mailing Address - Fax:
Practice Address - Street 1:540 ELLEN POWELL DR
Practice Address - Street 2:
Practice Address - City:PRAIRIE VIEW
Practice Address - State:TX
Practice Address - Zip Code:77445-8000
Practice Address - Country:US
Practice Address - Phone:832-684-2975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport