Organization
COLLAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLINS ADEAGBO (MANAGER)
(469) 463-3061
Entity
Organization
Contact information
Practice address
207 BALSAM GROVE CIR, DESOTO, TX 75115-5361
(469) 463-3061
Mailing address
207 BALSAM GROVE CIR, DESOTO, TX 75115-5361
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2556790
TX
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up