Organization
A&S SMOOTHRIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL S FASANYA BSC, MHA (OWNER)
(469) 782-8220
Entity
Organization
Contact information
Practice address
3001 S HARDIN BLVD STE 110-314, MCKINNEY, TX 75070-7736
(469) 782-8220
Mailing address
3001 S HARDIN BLVD STE 110-314, MCKINNEY, TX 75070-7736
(469) 782-8220
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
802715611
TX
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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