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Organization
GOODM SAMARITAN RIDES
Active
Organization
GOODM SAMARITAN RIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK CLARK ESTY (OWNER)
(469) 585-4001
Entity
Organization
Contact information
Practice address
180 CROWN COLONY DR, PROSPER, TX 75078-7045
(469) 585-4001
Mailing address
180 CROWN COLONY DR, PROSPER, TX 75078-7045
(469) 585-4001
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
Primary
—
NULL
Other
Enumeration date
07/23/2024
Last updated
08/22/2024
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