Organization
A4APPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ALI (MANAGER)
(817) 757-5831
Entity
Organization
Contact information
Practice address
7545 BERRENDA DR, FORT WORTH, TX 76131-5137
(817) 757-5831
Mailing address
7545 BERRENDA DR, FORT WORTH, TX 76131-5137
(817) 757-5831
(817) 653-7498
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343800000X
—
TX
Enumeration date
07/24/2015
Last updated
07/24/2015
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