Organization
AFWAJJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EAZ ALDEAN MOHEMD (MANAGER)
(469) 544-7173
Entity
Organization
Contact information
Practice address
4117 N STORY RD, IRVING, TX 75038-5904
(469) 544-7173
Mailing address
2625 CASTLE ST, IRVING, TX 75038-5807
(972) 505-2727
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
06/25/2015
Last updated
06/25/2015
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