# GWP HEALTHCARE TRANSPORTATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619734902
- **Authorized official:** GLENN WASHINGTON (OWNER/DRIVER)
- **Authorized official phone:** (817) 845-1390

## Contact information

- **Practice address:** 9332 LOGGERHEAD WAY, FORT WORTH, TX 76118-2037
- **Practice address phone:** (817) 721-0088
- **Mailing address:** PO BOX 156464, FORT WORTH, TX 76155-1464
- **Mailing address phone:** (817) 721-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347C00000X | Private Vehicle | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 12/26/2024