Organization
GERALD ANAKWENZE
Active
Other names
White Rock EMS
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD ANAKWENZE (OWNER)
(310) 529-4823
Entity
Organization
Contact information
Practice address
15330 LBJ FWY, #1061, MESQUITE, TX 75150-1223
(310) 529-4823
(310) 872-5317
Mailing address
1515 N TOWN EAST BLVD, #138-248, MESQUITE, TX 75150-4157
(310) 529-4823
(310) 872-5317
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000093
STATE LICENSE
TX
Enumeration date
02/04/2008
Last updated
03/11/2009
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