Organization
STAR MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL EZEKWESILI NEBE (OWNER)
(405) 400-6094
Entity
Organization
Contact information
Practice address
10716 CRUCES DR, OKLAHOMA CITY, OK 73162-8204
(405) 400-6094
Mailing address
10716 CRUCES DR, OKLAHOMA CITY, OK 73162-8204
(405) 400-6094
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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