Organization
WELLCARE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOURALDIN KHDAISH (OWNER)
(682) 406-0925
Entity
Organization
Contact information
Practice address
5908 NORMA DR, FORT WORTH, TX 76114-3211
(817) 502-2993
Mailing address
5908 NORMA DR, FORT WORTH, TX 76114-3211
(817) 502-2993
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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