Organization
NEAT MEDIC
Active
Other names
WILLIE D KAYEMB
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE DITU KAYEMBE N/A (CEO)
(832) 714-9560
Entity
Organization
Contact information
Practice address
1926 ACORN GLEN TRL, FRESNO, TX 77545-2121
(832) 714-9560
Mailing address
1926 ACORN GLEN TRL, FRESNO, TX 77545-2121
(832) 714-9560
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396307302
—
TX
Enumeration date
11/23/2020
Last updated
11/23/2020
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