Organization
GRANBURY EXECUTIVE TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM CLARK CLARK (CHIEF OPERATING OFFICER)
(817) 502-9831
Entity
Organization
Contact information
Practice address
1410 FALL CREEK HWY # 103, GRANBURY, TX 76049-7949
(817) 502-9831
Mailing address
1410 FALL CREEK HWY # 103, GRANBURY, TX 76049-7949
(817) 502-9831
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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