Organization
ALLSTATE AMBULANCE SERVICE
Active
Organization
ALLSTATE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA HARISTON (OWNER)
(972) 475-3358
Entity
Organization
Contact information
Practice address
3301 CENTURY DR STE B, ROWLETT, TX 75088-7555
(975) 475-3358
Mailing address
3301 CENTURY DR STE B, ROWLETT, TX 75088-7555
(975) 475-3358
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
800113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB809
BLUE CROSS
TX
Enumeration date
04/16/2007
Last updated
04/16/2008
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