| NPI | 1518682467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO ENRIQUEZ Manager 915-269-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2024-02-15 |