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Active
Organization subpart
No

Provider details

NPI number
Authorized official
GUS T ANTOINE SR. (OWNER)
(337) 564-8401
Entity
Organization

Contact information

Practice address
3607 CIBOLO CT, PEARLAND, TX 77584-3975
(833) 687-8333
Mailing address
3607 CIBOLO CT, PEARLAND, TX 77584-3975
(337) 564-8401

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary

Other

Enumeration date
09/16/2024
Last updated
09/16/2024
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