Provider Demographics
NPI:1073671467
Name:NORTH TEXAS EMS
Entity Type:Organization
Organization Name:NORTH TEXAS EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:FREED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-535-6212
Mailing Address - Street 1:PO BOX 24247
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76124-1247
Mailing Address - Country:US
Mailing Address - Phone:817-535-6212
Mailing Address - Fax:817-535-6233
Practice Address - Street 1:7119 FOSTER STUART RD
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-5625
Practice Address - Country:US
Practice Address - Phone:817-535-6212
Practice Address - Fax:817-535-6233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1840023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00218277OtherRAILROAD MCARE PALMETTO
TX153312701Medicaid
TXAMB621OtherBLUE CROSS BLUE SHIELD
TXP00218277OtherRAILROAD MCARE PALMETTO