# ODF MEDICAL TRANSPORT

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

## Provider details

- **NPI number:** 1164608915
- **Authorized official:** MR. PHILIP SHERIDAN INSCO II (OWNER)
- **Authorized official phone:** (469) 223-0416

## Contact information

- **Practice address:** 411 MERRITT ST, GRAND PRAIRIE, TX 75052-3337
- **Practice address phone:** (469) 223-0416
- **Mailing address:** 411 MERRITT ST, GRAND PRAIRIE, TX 75052-3337
- **Mailing address phone:** (469) 223-0416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000446 | TX | Yes |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 12/05/2011