| Organization Name: | FOREST BEND VOL FIRE DEPT |
| NPI Number: | 1083733463 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN P LAAKE (ACCOUNT REPRESENTATIVE) |
| Mailing Address: | 16615 Hope Village Rd Friendswood |
| State: | TX US |
| Postal Code: | 775462395 |
| Phone Number: | 2819969206 |
| Fax Number: | 2819966982 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 07/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | 300138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |