Organization
GLOSACON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL IKENGAH (OWNER)
(177) 331-9700
Entity
Organization
Contact information
Practice address
16015 CRESTED GREEN DR, HOUSTON, TX 77082-4086
(773) 319-7002
Mailing address
16015 CRESTED GREEN DR, HOUSTON, TX 77082-4086
(773) 319-7002
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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