# D3T ENTERPRISE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFELINE EMS, Liberty Star EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205247418
- **Authorized official:** TANGINA R EDWARDS (TREASURER)
- **Authorized official phone:** (469) 636-5055

## Contact information

- **Practice address:** 115 E DAVIS ST STE B, DUNCANVILLE, TX 75116-3642
- **Practice address phone:** (214) 550-1411
- **Mailing address:** 1600 W BROADWAY RD STE 100, TEMPE, AZ 85282-1138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000733 | TX | Yes |

## Other

- **Enumeration date:** 05/12/2014
- **Last updated:** 07/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000733 | — | TX |
| 01 | — | AMB1326 | MEDICARE PTAN | TX |