Organization
KCC TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN PETERS (OWNER)
(214) 985-4294
Entity
Organization
Contact information
Practice address
540 MEADOWSHIRE DR, DALLAS, TX 75232-4414
(214) 985-4294
Mailing address
540 MEADOWSHIRE DR, DALLAS, TX 75232-4414
(214) 985-4294
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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