Brazoria County Emergency Services District 3
Organization Active NPI Land Ambulance · Manvel, TX
NPI 1003307489 · NPPES record last updated Dec 4, 2025
Key facts
- NPI
- 1003307489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1000984 (TX)
- Legal business name
- BRAZORIA COUNTY EMERGENCY SERVICES DISTRICT 3
- Practice address
- 6931 Masters Rd
Manvel, TX 77578-4782 - Phone
- (281) 519-8779
- Fax
- (281) 489-0024
- NPI assigned
- May 22, 2018
- Organization subpart
- No
Authorized official
- Name
- Timothy Lance Welch
- Title
- Chief
- Phone
- (281) 519-8779
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2149871 | Brazoria County Emergency Services District #3 | Certificate of waiver | Jun 11, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180927001717 | TX | Part B Supplier - Ambulance Service Supplier | 5698026896 | Practice locations: Iowa Colony, TX; Rosharon, TX; Manvel, TX |
National Provider Directory
Locations
3042 Meridiana Pkwy
Iowa Colony, TX 77583
Phone (281) 519-8779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000984 | TX | Yes |
Addresses
Primary practice location
6931 Masters Rd
Manvel, TX 77578-4782
Mailing address
7900 NW 154TH St Ste 201
Miami Lakes, FL 33016-5816
Phone (281) 519-8779
Other providers in Manvel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.