Organization
TEXAS AVANTI MEDICALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUGBEMIGA IGBEKOYI (OWNER)
(469) 774-4488
Entity
Organization
Contact information
Practice address
320 QUEENS CT N APT C, MANSFIELD, TX 76063-2465
(469) 774-4488
Mailing address
320 QUEEN CT N UNIT C, MANSFIELD, TX 76063
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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