Provider Demographics
NPI:1538207642
Name:CITY OF FRISCO
Entity type:Organization
Organization Name:CITY OF FRISCO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CITY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-292-6300
Mailing Address - Street 1:PO BOX 49097
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-9097
Mailing Address - Country:US
Mailing Address - Phone:855-978-6283
Mailing Address - Fax:972-292-6319
Practice Address - Street 1:8601 GARY BURNS DRIVE
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2594
Practice Address - Country:US
Practice Address - Phone:972-292-6300
Practice Address - Fax:972-292-6319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX430093416L0300X
TX0430093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00097954OtherRAILROAD MEDICARE
TX000082001Medicaid
TX505775OtherBLUE CROSS BLUE SHIELD
TX000082001Medicaid