Organization
KINGDOMS ROAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON TERRELL KING (OWNER)
(863) 632-0560
Entity
Organization
Contact information
Practice address
3626 N HALL ST STE 610, DALLAS, TX 75219-5131
(469) 232-7969
(469) 402-7562
Mailing address
3626 N HALL ST STE 610, DALLAS, TX 75219-5131
(469) 232-7969
(469) 402-7562
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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