| NPI | 1760297972 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KENNETH WAYNE MOFFELT Owner/Operator 214-462-5387  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) | 
| Enumeration Date | 2025-02-13 | 
| Last Update Date | 2025-02-13 |