Healthcare Provider Details

I. General information

NPI: 1720169154
Provider Name (Legal Business Name): DINSMORE EMERGENCY ALERT SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 09/24/2010
Certification Date:
Deactivation Date: 01/30/2008
Reactivation Date: 09/24/2010

III. Provider practice location address

1202 LAKEWAY DRIVE SUITE 5
AUSTIN TX
78734-9801
US

IV. Provider business mailing address

1202 LAKEWAY DRIVE SUITE 5
AUSTIN TX
78734-9801
US

V. Phone/Fax

Practice location:
  • Phone: 512-261-1222
  • Fax: 512-261-1333
Mailing address:
  • Phone: 512-261-1222
  • Fax: 512-261-1333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPP0115
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License NumberPP0115
License Number StateTX

VIII. Authorized Official

Name: MR. ROBERT M. DINSMORE
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 512-261-1222