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Organization

FAMILY TRANSPORTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARNISE RICHARDS (OWNER)
(682) 216-6198
Entity
Organization

Contact information

Practice address
3531 PECOS WAY, GRAND PRAIRIE, TX 75052-7850
(682) 216-6198
Mailing address
3501 MEARES DR APT 136, FORT WORTH, TX 76137-1477
(682) 216-6198

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
03/28/2022
Last updated
06/03/2022
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