Healthcare Provider Details

I. General information

NPI: 1598583817
Provider Name (Legal Business Name): DOLLARHIDE INDUSTRIAL RESPONSE TEAM L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7457 HARWIN DR STE 327C
HOUSTON TX
77036-2027
US

IV. Provider business mailing address

PO BOX 542
BAYTOWN TX
77522-0542
US

V. Phone/Fax

Practice location:
  • Phone: 832-205-8563
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DEMETRIUS DOLLARHIDE
Title or Position: CHIEF EXECUTIVE OFFICE
Credential:
Phone: 832-205-8563