Organization
3RD GEN BOND ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ATAHSIA S SMILEY (CEO)
(469) 526-3116
Entity
Organization
Contact information
Practice address
17250 DALLAS PKWY STE 27, DALLAS, TX 75248-1136
(469) 526-3116
Mailing address
17250 DALLAS PKWY STE 27, DALLAS, TX 75248-1136
(469) 526-3116
Taxonomy
Speciality
Code
Description
License number
State
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
—
—
261QM1103X
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
—
—
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/17/2020
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