Organization
FOUNTAIN TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONATUS OKWUDILI AGBO (MEMBER/OWNER)
(832) 892-7903
Entity
Organization
Contact information
Practice address
11100 BRAESRIDGE DR APT 2223, HOUSTON, TX 77071-2132
(832) 892-7903
Mailing address
11100 BRAESRIDGE DR APT 2223, HOUSTON, TX 77071-2132
(832) 892-7903
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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