Organization
ON MY WAY TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZRIELLE TOLIVER (OWNER)
(469) 261-2719
Entity
Organization
Contact information
Practice address
10213 FELDSPAR DR, FORT WORTH, TX 76131-4282
(469) 261-2719
Mailing address
10213 FELDSPAR DR, FORT WORTH, TX 76131-4282
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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