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Organization

PATOVIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK OGUNLEYE (CEO)
(510) 927-6552
Entity
Organization

Contact information

Practice address
311 BLACK OPAL DR, JARRELL, TX 76537-0818
(510) 927-6552
Mailing address
311 BLACK OPAL DR, JARRELL, TX 76537-0818
(510) 927-6552

Taxonomy

Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
347B00000X
Bus
347C00000X
Private Vehicle

Other

Enumeration date
07/14/2023
Last updated
07/14/2023
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