Organization
GDL3V3LS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMITRIOUS GILMORE DC (BOARD MEMBER)
(972) 670-0770
Entity
Organization
Contact information
Practice address
405 STATE HIGHWAY 121 BYP STE A250, LEWISVILLE, TX 75067-4183
(972) 800-4935
Mailing address
405 STATE HIGHWAY 121 BYP STE A250, LEWISVILLE, TX 75067-4183
(972) 800-4935
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/27/2021
Last updated
03/17/2024
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