Provider Demographics
NPI:1336319573
Name:PATRICA D PARRISH DBA OMEGA AMBULANCE SERVICE
Entity Type:Organization
Organization Name:PATRICA D PARRISH DBA OMEGA AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-891-6024
Mailing Address - Street 1:8035 E RL THRTN FWY
Mailing Address - Street 2:400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7018
Mailing Address - Country:US
Mailing Address - Phone:214-660-3110
Mailing Address - Fax:214-660-3190
Practice Address - Street 1:8035 E RL THRTN FWY
Practice Address - Street 2:400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-660-3110
Practice Address - Fax:214-660-3190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10001223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000122OtherTDSHS PROVIDER NUMBER
TX198421301Medicaid
TXAMB692OtherBLUE CROSS BLUE SHEILD PROVIDER NUMBER
TX198421301Medicaid
TXAMB692OtherBLUE CROSS BLUE SHEILD PROVIDER NUMBER