| NPI | 1649161308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN AGONGO Manager 214-924-5283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-30 |