Organization
INSPIRINGKINGDOMLEGACYLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN K LESTAGE (OWNER)
(631) 829-8635
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(361) 332-4768
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(361) 332-4768
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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