Provider Demographics
NPI:1710486220
Name:SOAR EMS
Entity Type:Organization
Organization Name:SOAR EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOAR EMS
Authorized Official - Prefix:
Authorized Official - First Name:SOAR
Authorized Official - Middle Name:
Authorized Official - Last Name:EMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-990-0367
Mailing Address - Street 1:6403 INDUSTRIAL DR STE 3
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-3167
Mailing Address - Country:US
Mailing Address - Phone:682-990-0367
Mailing Address - Fax:
Practice Address - Street 1:6403 INDUSTRIAL DR STE 3
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048
Practice Address - Country:US
Practice Address - Phone:682-990-0367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-09
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty