Provider Demographics
NPI:1689868788
Name:GREATER DALLAS EMS
Entity Type:Organization
Organization Name:GREATER DALLAS EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:PECANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-651-8260
Mailing Address - Street 1:222 S HALL ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75226-1655
Mailing Address - Country:US
Mailing Address - Phone:214-651-8260
Mailing Address - Fax:214-651-0577
Practice Address - Street 1:222 S HALL ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-1655
Practice Address - Country:US
Practice Address - Phone:214-651-8260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport