Organization
EMERGENCY ROOM MOBILE SERVICES, INC
Active
Other names
Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARABLE JR. (PRESIDENT)
(972) 741-5748
Entity
Organization
Contact information
Practice address
1278 JUSTIN RD, SUITE 109/B53, LEWISVILLE, TX 75077-2200
(972) 741-5748
Mailing address
PO BOX 271153, FLOWER MOUND, TX 75027-1153
(972) 741-5748
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
057110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169515701
—
TX
01
—
AMB768
BLUE CROSS
TX
Enumeration date
05/04/2011
Last updated
12/20/2011
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