Organization
BRYZACON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL IKENGAH (MANAGER)
(832) 847-0488
Entity
Organization
Contact information
Practice address
2235 E FLAMINGO RD STE 150, LAS VEGAS, NV 89119-5198
(832) 847-0488
Mailing address
16015 CRESTED GREEN DR, HOUSTON, TX 77082-4086
(832) 847-4880
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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