Organization
KORBANOT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LUMBUNGU WA RIKO BUKASSA (PRESIDENT)
(972) 803-7272
Entity
Organization
Contact information
Practice address
207 W COLLEGE ST, LEWISVILLE, TX 75057-3855
(972) 803-7272
(972) 221-9305
Mailing address
207 W COLLEGE ST, LEWISVILLE, TX 75057-3855
(972) 803-7272
(972) 221-9305
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TX
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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