Organization
CGC ENTERPRISES LLC
Active
Other names
Select Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY SHEPARD (REGIONAL MANAGER)
(817) 264-6267
Entity
Organization
Contact information
Practice address
4101 W GREEN OAKS BLVD # 305-489, ARLINGTON, TX 76016-4462
(817) 264-6267
Mailing address
4101 W GREEN OAKS BLVD # 305-489, ARLINGTON, TX 76016-4462
(817) 264-6267
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
802619502
TX
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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