| Organization Name: | COUNTY OF SOMERVELL |
| NPI Number: | 1912016106 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALTER MARION MAYNARD (COUNTY JUDGE) |
| Mailing Address: | 111 Sheppard Street Glen Rose |
| State: | TX US |
| Postal Code: | 76043 |
| Phone Number: | 2548972135 |
| Fax Number: | 2548974568 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 03/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | 213004 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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. |