Provider Demographics
NPI:1952491235
Name:GREATER DALLAS EMS, LTD
Entity Type:Organization
Organization Name:GREATER DALLAS EMS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COO
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-651-8256
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:214-651-0577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-15
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3001993416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB029Medicare ID - Type Unspecified