Organization
PHIL 413 TRANSPORT CARE
Active
Parent organization
PHIL413 AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHIL413 AGENCY
Authorized official
VICK M GHENDA (OWNER)
(325) 513-7240
Entity
Organization
Contact information
Practice address
6072 BEACHVIEW LN, FORT WORTH, TX 76179-7552
(325) 513-7240
Mailing address
6072 BEACHVIEW LN, FORT WORTH, TX 76179-7552
(325) 513-7240
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/05/2022
Last updated
01/19/2023
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