Organization
DECACORD
Active
Organization
DECACORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBOLA OLUWASEGUN (MANAGING DIRECTOR)
(346) 774-1036
Entity
Organization
Contact information
Practice address
14906 WESTPARK DR APT 3124, HOUSTON, TX 77082-4980
(346) 774-1036
Mailing address
14906 WESTPARK DR APT 3124, HOUSTON, TX 77082-4980
(346) 774-1036
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/21/2024
Last updated
07/18/2024
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