# TEXAS LIFELINE CORPORATION OF LIVE OAK CO.

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

## Provider details

- **NPI number:** 1689688517
- **Authorized official:** MR. DARRYL QUIGLEY (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (214) 327-8222

## Contact information

- **Practice address:** 5409 N JIM MILLER RD, SUITE 203A, DALLAS, TX 75227-1542
- **Practice address phone:** (214) 327-8222
- **Practice address fax:** (214) 388-2093
- **Mailing address:** PO BOX 571909, DALLAS, TX 75357-1909
- **Mailing address phone:** (214) 327-8222
- **Mailing address fax:** (214) 388-2093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 300273 | TX | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 08/22/2020