| NPI | 1508391244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONDALA LATRECE FOWLER Owner 214-577-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 14692890) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |