Organization
GLORY'S MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CHU (TRANSPORTATION)
(912) 412-0954
Entity
Organization
Contact information
Practice address
5007 FAIRWATER CT, RICHMOND, TX 77469-2355
(912) 412-0954
Mailing address
5007 FAIRWATER CT, RICHMOND, TX 77469-2355
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669019105
—
TX
Enumeration date
08/07/2020
Last updated
08/07/2020
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