Individual
BENJAMIN AGBATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12903 SUGAR RIDGE BLVD APT 2501, STAFFORD, TX 77477-3133
(832) 903-7979
Mailing address
12903 SUGAR RIDGE BLVD APT 2501, STAFFORD, TX 77477-3133
(832) 903-7979
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
802951858
TX
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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