| NPI | 1295434280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESFAYE GMICHAEL Owner 512-577-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |