Organization
MANSFIELD NON-EMERGENCY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTIN NTIRANDEKURA (OWNER)
(682) 472-6676
Entity
Organization
Contact information
Practice address
5033 IVY WOOD LN APT 931, FORT WORTH, TX 76115-4056
(682) 472-6676
Mailing address
5033 IVY WOOD LN APT 931, FORT WORTH, TX 76115-4056
(682) 472-6676
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/04/2025
Last updated
01/06/2025
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