| NPI | 1700377801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL S FASANYA Owner 469-782-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 802715611) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |