DAVENBROOK, LLC


Address: 10703 Plano Rd Ste 300, Dallas, TX 75238-1385
Phone: 2142217963

DAVENBROOK, LLC (NPI# 1174820054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174820054
Entity Type Organization
Organization Name DAVENBROOK, LLC
Other Organization Name DIRECT EMS
Practice Address 10703 Plano Rd Ste 300
Dallas
TX 75238-1385
Practice Telephone 2142217963
Mailing Telephone 2142217963
Enumeration Date 2011-02-11
Last Update Date 2011-02-11
Authorized Official Name CHAD BRANDON (DIRECTOR)
Authorized Official Telephone 2142217963
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
12345 TX Transportation Services

Other Provider/Organization Names

Other Name Type Code
DIRECT EMS Doing Business As Name - Organization

Office Location

Street Address 10703 PLANO RD STE 300
City DALLAS
State TX
Zip Code 75238-1385

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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1487957387 Life-force Ambulance, Inc. Ambulance 361 W Memorial Dr, Dallas, GA 30132-4136 2010-12-15
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1164655023 Republic Ambulance Services Ambulance 10455 N Central Expwy Ste 109-253, Dallas, TX 75231 2009-08-26
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Competitor

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City DALLAS
Zip Code 75238

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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