Individual
MR. EGERTON TAMBA MENDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7149 VAN TUYL PKWY APT 20207, MCKINNEY, TX 75070
(347) 866-5850
Mailing address
7149 VAN TUYL PKWY APT 20207, MCKINNEY, TX 75070-1255
(347) 866-5850
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
940870283
NY
343900000X
Non-emergency Medical Transport (VAN)
Primary
48585475
TX
343900000X
Non-emergency Medical Transport (VAN)
48585475
—
Other
Enumeration date
06/05/2022
Last updated
03/02/2023
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