Healthcare Provider Details

I. General information

NPI: 1467372649
Provider Name (Legal Business Name): FTSERV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3904 BLOCK DR APT 247
IRVING TX
75038-7650
US

IV. Provider business mailing address

3904 BLOCK DR APT 247
IRVING TX
75038-7650
US

V. Phone/Fax

Practice location:
  • Phone: 929-410-5754
  • Fax: 929-410-5754
Mailing address:
  • Phone: 929-410-5754
  • Fax: 929-410-5754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BASHAR ATTAULLAH HAYAT
Title or Position: CEO
Credential:
Phone: 929-410-5754