=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982742698
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF PLANO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/02/2007
-----------------------------------------------------
Last Update Date | 03/14/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1901 K AVE
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75074-5939
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-978-6302
-----------------------------------------------------
Fax | 888-972-9641
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 669133
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75266-9133
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-978-6302
-----------------------------------------------------
Fax | 888-972-9641
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CONTROLLER
-----------------------------------------------------
Name | ALLISON FRILOUX
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 972-941-5225
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 43007
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------