# MEDICAL AND SPECIALTY TRANSPORT EMS, LLC

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

## Provider details

- **NPI number:** 1467043430
- **Authorized official:** MR. JOHN ANTHONY BLEVINS (OWNER)
- **Authorized official phone:** (903) 821-4666

## Contact information

- **Practice address:** 2955 GENEVA DR, GRAND PRAIRIE, TX 75054-0030
- **Practice address phone:** (903) 821-4466
- **Mailing address:** 3540 E BROAD ST STE 120-104, MANSFIELD, TX 76063-5633
- **Mailing address phone:** (903) 821-4466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2021
- **Last updated:** 02/01/2021