Organization
CRYSTAL MAS INTERNATIONAL
Active
Other names
Crystal Mas EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLAMIDE ADEYEMI (OWNER)
(972) 201-8568
Entity
Organization
Contact information
Practice address
4101 AIRPORT FWY, SUITE 227, BEDFORD, TX 76021-6130
(817) 868-1040
(817) 868-1042
Mailing address
4101 AIRPORT FWY, SUITE 227, BEDFORD, TX 76021-6129
(817) 868-1040
(817) 868-1042
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000833
TDSHS
—
Enumeration date
10/30/2012
Last updated
10/30/2012
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