Organization
FORNEY MEDICAL TRANSPORTATION LLC
Active
Other names
FORNEY MEDICAL TRANSPORTATION LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HABEN G TESFALIDET (MANAGER)
(773) 809-9957
Entity
Organization
Contact information
Practice address
4119 WALDRON TRL, FORNEY, TX 75126-3119
(773) 809-9957
Mailing address
4119 WALDRON TRL, FORNEY, TX 75126-3119
(773) 809-9957
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
10/12/2023
Last updated
11/03/2023
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