Organization
DENTAL & MEDICAL TRANSPORTATION SERICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY M KELLY (PARTNER)
(972) 836-5584
Entity
Organization
Contact information
Practice address
693 E ROYAL LN APT 1121, IRVING, TX 75039-3557
(678) 362-2389
Mailing address
693 E ROYAL LN APT 1121, IRVING, TX 75039-3557
(678) 362-2389
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
10817352
TX
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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