Organization
SACRED CROSS EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON SHEPARD (OWNER)
(877) 602-2060
Entity
Organization
Contact information
Practice address
2341 N MASCH BRANCH RD, DENTON, TX 76207-3291
(877) 602-2060
(903) 887-1863
Mailing address
PO BOX 447, KRUM, TX 76249-0447
(877) 602-2060
(903) 887-1863
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000188
STATE LICENSE
TX
Enumeration date
12/10/2008
Last updated
11/26/2013
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