Individual
RENE KONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1841 GREENFIELD AVE, FORT WORTH, TX 76102-1516
(817) 655-5673
Mailing address
1841 GREENFIELD AVE, FORT WORTH, TX 76102-1516
(817) 655-5673
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
33252868
TX
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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