Healthcare Provider Details

I. General information

NPI: 1043024664
Provider Name (Legal Business Name): RADIANT PROCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 SEYMOUR DR
FRISCO TX
75033
US

IV. Provider business mailing address

1169 SEYMOUR DR
FRISCO TX
75033-0951
US

V. Phone/Fax

Practice location:
  • Phone: 847-858-6220
  • Fax:
Mailing address:
  • Phone: 847-858-6220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MR. SYED ALIKHAN
Title or Position: CEO
Credential:
Phone: 847-858-6620