Organization
MEDRIDE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEATU AZUKA ONUBOGU (CEO)
(469) 403-7099
Entity
Organization
Contact information
Practice address
223 ROLLING FORK BND, IRVING, TX 75039-3809
(972) 854-2323
Mailing address
223 ROLLING FORK BND, IRVING, TX 75039-3809
(972) 854-2323
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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