Organization
FIRST CROSSLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STATON OMO-ABU MD (ADMIN)
(512) 300-1829
Entity
Organization
Contact information
Practice address
14455 PRESTON RD APT 108, DALLAS, TX 75254-8540
(512) 300-1829
Mailing address
14455 PRESTON RD APT 108, DALLAS, TX 75254-8540
(512) 300-1829
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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