| NPI | 1063115822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHELL T DEMERY Owner 214-405-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-06-04 |