Organization
DATAHEALTH MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODSWILL MBATA (CEO)
(501) 351-4794
Entity
Organization
Contact information
Practice address
4348 W NORTHGATE DR APT 190, IRVING, TX 75062-2583
(501) 351-4794
Mailing address
391 LAS COLINAS BLVD E STE 1302041, IRVING, TX 75039-6291
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
TX
Enumeration date
07/20/2020
Last updated
07/20/2020
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