| NPI | 1770246845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDRIS MOHAMEDZAIN Managing Member 903-215-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |