Organization
GLADE CRESCENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABOLORE OGUNSOLA (DIRECTOR)
(615) 554-4897
Entity
Organization
Contact information
Practice address
2823 LEMONWOOD LN, KATY, TX 77494-7991
(615) 554-4897
Mailing address
2823 LEMONWOOD LN, KATY, TX 77494-7991
(615) 554-4897
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/16/2024
Last updated
11/16/2024
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