Organization
CITY OF DESOTO
Active
Other names
DeSoto Fire Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN WHITACRE (EMS CHIEF)
(972) 230-9682
Entity
Organization
Contact information
Practice address
211 E PLEASANT RUN RD, DESOTO, TX 75115-3901
(972) 230-9628
(972) 230-5795
Mailing address
211 E PLEASANT RUN RD, DESOTO, TX 75115-3901
(972) 230-9628
(972) 230-5795
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
057044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000082001
—
TX
01
—
505775
BLUE CROSS BLUE SHIELD
TX
01
—
P00097954
RAILROAD MEDICARE
TX
Enumeration date
02/01/2007
Last updated
05/25/2021
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