| NPI | 1871246942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEMARIAM N DESTA Manager 512-363-7658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2024-07-13 |