Provider Demographics
NPI:1437254471
Name:AMERICAN MEDICAL RESPONSE OF TEXAS INC
Entity Type:Organization
Organization Name:AMERICAN MEDICAL RESPONSE OF TEXAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP OF REVENUE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-703-2294
Mailing Address - Street 1:PO BOX 847343
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7343
Mailing Address - Country:US
Mailing Address - Phone:800-913-9106
Mailing Address - Fax:
Practice Address - Street 1:4300 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1106
Practice Address - Country:US
Practice Address - Phone:512-926-5652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX590010901OtherPHCS GUARDIAN
TX000099401Medicaid
TX3280214OtherUNITED HEALTHCARE
TX506258OtherSTERLING OPTION
TX4099401OtherSUPERIOR HEALTH KIDS
506258OtherBC, BCBS, BCTX, HMO BLUE
TXTX0000D100263OtherSECTION 1011
TX000099401OtherMEDICAID HMOS
TXTX0000D100263OtherSECTION 1011
TX4099401OtherSUPERIOR HEALTH KIDS
TX590010901OtherPHCS GUARDIAN