Organization
D3T ENTERPRISE LLC
Active
Other names
LIFELINE EMS
Organization subpart
No
Provider details
NPI number
Authorized official
TANGINA R EDWARDS (TREASURER)
(469) 636-5055
Entity
Organization
Contact information
Practice address
115 E DAVIS ST STE B, DUNCANVILLE, TX 75116-3642
(214) 550-1411
Mailing address
1600 W BROADWAY RD STE 100, TEMPE, AZ 85282-1138
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000733
—
TX
01
—
AMB1326
MEDICARE PTAN
TX
Enumeration date
05/12/2014
Last updated
02/26/2024
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