Healthcare Provider Details
I. General information
NPI: 1568997120
Provider Name (Legal Business Name): ANGAF SOLUTIONS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2017
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12360 RICHMOND AVE APT 1721
HOUSTON TX
77082-2421
US
IV. Provider business mailing address
6065 HILLCROFT ST SUITE 612 D
HOUSTON TX
77081-1087
US
V. Phone/Fax
- Phone: 281-846-6609
- Fax: 832-917-1631
- Phone: 281-846-6609
- Fax: 832-917-1631
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
ANGE
LUNDIMU
KAYUMBA
Title or Position: CEO/PRESIDENT
Credential: ENGINEER
Phone: 281-846-6609