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Organization

EAGLE RIDE TRANSPORTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL G EYOB (OWNER)
(469) 602-1572
Entity
Organization

Contact information

Practice address
3421 HIGH PLATEAU DR, GARLAND, TX 75044-5880
(469) 602-1572
Mailing address
3421 HIGH PLATEAU DR, GARLAND, TX 75044-5880
(469) 602-1572

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
12/06/2022
Last updated
12/14/2022
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