# CODE 4 EMERGENCY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053925636
- **Authorized official:** EVAN BRADLEY LP (VICE PRESIDENT)
- **Authorized official phone:** (888) 912-6334

## Contact information

- **Practice address:** 1901 E 51ST ST, AUSTIN, TX 78723-3040
- **Practice address phone:** (888) 912-6334
- **Practice address fax:** (888) 912-6334
- **Mailing address:** 1901 E 51ST ST, AUSTIN, TX 78723-3040
- **Mailing address phone:** (888) 912-6334
- **Mailing address fax:** (888) 912-6334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2020
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 30471 | COLA | — |
| 01 | — | 45D2190889 | CLIA | — |
| 01 | — | 800923 | DSHS FRO | TX |