Organization
RIDERUSH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN OMODON (CEO)
(682) 702-4034
Entity
Organization
Contact information
Practice address
3301 FLORENCE DR, CORINTH, TX 76210-2853
(682) 702-4034
Mailing address
1111B S GOVERNORS AVE STE 3569, DOVER, DE 19904-6903
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/20/2024
Last updated
11/21/2024
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