| NPI | 1457012510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAGALSIR OSAMA Owner 832-868-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2021-12-31 |