Organization
KINCUSU MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOBECS UGWU (CEO)
(571) 422-9141
Entity
Organization
Contact information
Practice address
15190 PRESTONWOOD BLVD APT 116, DALLAS, TX 75248-4732
(214) 490-5359
Mailing address
15190 PRESTONWOOD BLVD APT 116, DALLAS, TX 75248-4732
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/14/2025
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