Organization
RETTAS LEGACY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA THOMAS (OWNER)
(817) 845-8732
Entity
Organization
Contact information
Practice address
3616 LAURENWOOD DR, CROWLEY, TX 76036-1288
(817) 845-8732
Mailing address
3000 S HULEN ST STE 124, FORT WORTH, TX 76109-1934
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/28/2021
Last updated
06/07/2022
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