Organization
CITY OF ADDISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOFER ALEXANDER (ASSISTANT CHIEF)
(972) 450-7203
Entity
Organization
Contact information
Practice address
4798 AIRPORT PKWY, ADDISON, TX 75001-3364
(972) 450-7201
(972) 450-7208
Mailing address
PO BOX 180819, DALLAS, TX 75218
(972) 450-7090
(972) 450-7096
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
504181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000021801
—
TX
01
—
590007397
RAILROAD MEDICARE
TX
01
—
AMB833
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/21/2006
Last updated
07/23/2024
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