Organization
CITY OF RICHARDSON
Active
Organization
CITY OF RICHARDSON
Active
Other names
CITY OF RICHARDSON EAS
Organization subpart
No
Provider details
NPI number
Authorized official
TODD GASTORF (FINANCE DIRECTOR)
(972) 744-4145
Entity
Organization
Contact information
Practice address
411 W. ARAPAHO RD., RICHARDSON, TX 75080
(855) 978-6296
(888) 972-9641
Mailing address
PO BOX 678629, DALLAS, TX 75267-8629
(855) 978-6296
(888) 972-9641
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
057034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031701
—
TX
01
—
504759
BLUE CROSS BLUE SHIELD
TX
01
—
590012733
RAILROAD MEDICARE
TX
Enumeration date
02/02/2007
Last updated
10/16/2025
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