| NPI | 1023841798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WAYNE MOFFETT Owner/Operator 214-462-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |