Organization
CRESCENT 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAMELDIN ABDEL AZIZ ELMAHDI (OWNER)
(972) 652-0256
Entity
Organization
Contact information
Practice address
1341 W MOCKINGBIRD LN STE 600W, DALLAS, TX 75247-6904
(972) 652-0256
Mailing address
1341 W MOCKINGBIRD LN STE 600W, DALLAS, TX 75247-6904
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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