Organization
HERITAGE DUO GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUMIDE A DAVIES MD (MANAGING MEMBER)
(973) 517-6585
Entity
Organization
Contact information
Practice address
10435 CARINA CLOUD LN, RICHMOND, TX 77406-3170
(973) 517-6585
Mailing address
9115 FM 723 RD STE 550, RICHMOND, TX 77406-9238
(973) 517-6585
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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