Village of Lake Tanglewood Texas

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

191005 Issued in TX

Legal business name

VILLAGE OF LAKE TANGLEWOOD TEXAS

Doing business as

Lake Tanglewood EMS

Practice address

201 N Shore Dr
Amarillo, TX 79118-9391

Phone

(806) 622-8711

Fax

(806) 367-6240

NPI assigned

Mar 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Jack Hulsey, NREMTP

Title

Fire Chief

Phone

(806) 206-4684

Specialties & licenses 1

Addresses

Other names 1

• Lake Tanglewood EMS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1063480523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691363",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691363",
            "telephone_number": "281-397-0397",
            "fax_number": "281-397-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N SHORE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791189391",
            "telephone_number": "806-622-8711",
            "fax_number": "806-367-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF LAKE TANGLEWOOD TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "HULSEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "806-206-4684",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "191005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Tanglewood EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Nicole Vickrey, RN
• Victor Bravo MHT LLC
• Erin Michelle Vigil, MD
• Joseph Alvin Vigil Sr., PTA
• Cassandra Maria Villa, MSN, APRN, FNP-C
• Nora Brijet Villarreal Soria, RBT
• Ximena Villarreal, FNP
• Vincent Family Enterprises, Inc. (The Wellness Zone)
• Stephen Pierce Vincent, D.C.
• David D Vineyard, M.D.

• Land Ambulance in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.