| NPI | 1619613445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETLHEM NEGA MIHRETIE Provider 512-903-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-10-17 |