| NPI | 1912539842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATAHSIA S SMILEY CEO 469-526-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 261QM1102X Clinic/Center Military Outpatient Operational (Transportable) Component |
| 261QM1103X Clinic/Center Military Ambulatory Procedure Visits Operational (Transportable) | |
| 2865X1600X Military Hospital Military General Acute Care Hospital. Operational (Transportable) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-02-17 |