Organization
SERENITY EMS LLC
Active
Other names
Texas Star Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN D PHILLIPS LICENSED PARAMEDIC (CHIEF OPERATING OFFICER)
(214) 850-5884
Entity
Organization
Contact information
Practice address
11895 FORESTGATE DR, DALLAS, TX 75243-5414
(214) 570-1781
(214) 570-1783
Mailing address
PO BOX 550669, DALLAS, TX 75355-0669
(214) 570-1781
(214) 570-1783
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341380901
—
TX
Enumeration date
03/13/2013
Last updated
04/05/2019
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