Organization
BACK TO FRONT PIZZA LLC
Active
Other names
Universal Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK E TAITE (PRESIDENT/CEO)
(817) 861-7660
Entity
Organization
Contact information
Practice address
540 ROCK PRAIRIE LN, FORT WORTH, TX 76140-6562
(817) 862-7660
(817) 349-0036
Mailing address
540 ROCK PRAIRIE LN, FORT WORTH, TX 76140-6562
(817) 862-7660
(817) 349-0036
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/22/2014
Last updated
11/22/2014
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