Organization
TRUSTED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTENEH T ABERRA PHD (MANAGER DIRECTOR)
(616) 284-9131
Entity
Organization
Contact information
Practice address
3501 SHORELINE DR APT 927, AUSTIN, TX 78728-4492
(616) 284-9131
Mailing address
3501 SHORELINE DR APT 927, AUSTIN, TX 78728-4492
(616) 284-9131
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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