=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386665750
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DALLAS-FORT WORTH INTERNATIONAL AIRPORT BOARD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2006
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3150 N. SERVICE RD
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75261
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-343-7748
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 4971
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77210-4971
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-649-9555
-----------------------------------------------------
Fax | 800-353-2196
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BATTALION CHIEF
-----------------------------------------------------
Name | ETHAN R KUHLEMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 817-343-7748
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 220010
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------