City of Jacinto City

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF JACINTO CITY

Practice address

1126 Mercury Drive
Jacinto City, TX 77029

Phone

(713) 674-1841

Fax

(713) 673-1771

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

Lon Squyres

Title

City Manager

Phone

(713) 674-1841

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jacinto City Fire Dept Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1740258292",
    "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": "281-397-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MERCURY DRIVE",
            "city": "JACINTO CITY",
            "state": "TX",
            "postal_code": "77029",
            "telephone_number": "713-674-1841",
            "fax_number": "713-673-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JACINTO CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "SQUYRES",
        "authorized_official_first_name": "LON",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "713-674-1841"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1635715",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590005192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacinto City Fire Dept",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donald Bradshaw Davis, AGPCNP-BC
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• Tien Vu Pham, PHARMD

• Ambulance in Jacinto City, TX
• Providers in Jacinto City, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.