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Organization

KLEENEX EMS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER GBENGA AKAMO (PRESIDENT)
(409) 860-4576
Entity
Organization

Contact information

Practice address
5925 PHELAN BLVD # I, SUITE 175, BEAUMONT, TX 77706-6253
(409) 860-4576
(832) 350-7894
Mailing address
5925 PHELAN BLVD # I, SUITE 175, BEAUMONT, TX 77706-6253
(409) 860-4576
(832) 350-7894

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000736
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000736
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
02/15/2012
Last updated
02/15/2012
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