Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | TEXAS DEPARTMENT OF STATE HEALTH SERVICES |
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| Attention | Timothy A Nebergall |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 1301 S BOWEN RD |
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| Po Box | |
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| Locality | ARLINGTON |
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| County | Tarrant County |
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| State | TX - Texas |
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| Postal Code | 76013 |
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| Zip Location | 32°43'09.6"N 97°09'18.1"W |
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| Maidenhead | EM12kr |
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| FRN | 0022618938 |
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| Geo Region | 5 / TX |
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| Licensee ID/SGIN | L01781408 / 000 |
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| Callsign | W5DSH |
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| Last Action Date | 2023-11-01 |
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| Radio Service | HV - Vanity |
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| App Purpose | MD - Modification |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2023-11-01 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2023-11-01 |
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| Payment Date | |
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| Is From Vec | · Y |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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| Licensee Class | trustee: G - General |
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| New Seq Callsign | |
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| Trustee Callsign | KG7ZES |
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| Trustee Name | NEBERGALL, TIMOTHY A |
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| ULS Group / ULS Region | C / 5 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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