Organization
KODA BOY ENTERPRISE
Active
Organization
KODA BOY ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BROWN (OWNER)
(469) 363-0989
Entity
Organization
Contact information
Practice address
1321 MEADOW CREEK DR, LANCASTER, TX 75146-1325
(469) 363-0989
Mailing address
1321 MEADOW CREEK DR, LANCASTER, TX 75146-1325
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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