| NPI | 1104540475 |
|---|---|
| Doing Business As | ON SITE AUTO DETAIL |
| Entity Type | Organization |
| Authorized Contact | RAY A ROUGEAUX Owner 469-774-7483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2024-04-09 |