Organization
PRESTON TRAIL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H. DEATHERAGE (OWNER)
(214) 499-4930
Entity
Organization
Contact information
Practice address
12596 CAJUN DR, FRISCO, TX 75035-8904
(214) 499-4930
(972) 377-7620
Mailing address
12596 CAJUN DR, FRISCO, TX 75035-8904
(214) 499-4930
(972) 377-7620
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
08027524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275768020
—
TX
Enumeration date
05/22/2009
Last updated
09/08/2009
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