# MEDEVAC EMS

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

## Provider details

- **NPI number:** 1982914495
- **Authorized official:** DR. JASON ALAN WILLIAMS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (972) 623-8859

## Contact information

- **Practice address:** 4300 FORNEY RD, SUITE 108, MESQUITE, TX 75149-2747
- **Practice address phone:** (972) 623-8869
- **Mailing address:** 201 LAURENCE DR, PO BOX 202, HEATH, TX 75032-2069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |
| 3416L0300X | Land Ambulance | — | — | — |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 11/18/2010