Organization
ATX DESTINY TRANSPORTAION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIGESTY GEBEREZIGIABEHER (DIRECT OWNER)
(512) 363-2093
Entity
Organization
Contact information
Practice address
4209 VEILED FALLS DR, PFLUGERVILLE, TX 78660-5536
(512) 363-2093
Mailing address
4209 VEILED FALLS DR, PFLUGERVILLE, TX 78660-5536
(512) 363-2093
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
08/24/2023
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