Organization
VAST TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA NICOLE DWYER (OWNER)
(469) 819-7528
Entity
Organization
Contact information
Practice address
1809 WESTFALL DR, ANNA, TX 75409-4665
(469) 819-7528
Mailing address
1809 WESTFALL DR, ANNA, TX 75409-4665
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
11/04/2024
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