Organization
JMNB STARPLUS EMS LTD
Active
Other names
StarPlus EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRITTON KELLY WALDRON LP (DIRECTOR)
(469) 452-7101
Entity
Organization
Contact information
Practice address
330 INDUSTRIAL BLVD, 101, MCKINNEY, TX 75069-7305
(469) 452-7101
(469) 519-0109
Mailing address
PO BOX 2552, MCKINNEY, TX 75070-8172
(469) 452-7101
(469) 519-0109
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
800026
TX
3416L0300X
Land Ambulance
Primary
800026
TX
343800000X
Secured Medical Transport (VAN)
800026
TX
343900000X
Non-emergency Medical Transport (VAN)
800026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173391701
—
TX
01
—
AMB759
BCBS PROVIDER NUMBER
TX
Enumeration date
05/12/2006
Last updated
04/15/2011
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