Organization
ODF MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP SHERIDAN INSCO II (OWNER)
(469) 223-0416
Entity
Organization
Contact information
Practice address
411 MERRITT ST, GRAND PRAIRIE, TX 75052-3337
(469) 223-0416
Mailing address
411 MERRITT ST, GRAND PRAIRIE, TX 75052-3337
(469) 223-0416
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000446
TX
Other
Enumeration date
01/10/2008
Last updated
12/05/2011
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