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Individual

MR. WAJDI KHDAISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7404 GAIRLOCK DR, FORT WORTH, TX 76179-4818
(516) 312-5553
Mailing address
7404 GAIRLOCK DR, FORT WORTH, TX 76179-4818
(516) 312-5553

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
344600000X
Taxi

Other

Enumeration date
08/24/2021
Last updated
08/25/2021
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