Healthcare Provider Details

I. General information

NPI: 1376871756
Provider Name (Legal Business Name): FOLINI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2009
Last Update Date: 11/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 CHARLOTTE DR
MCKINNEY TX
75071-7423
US

IV. Provider business mailing address

1121 CHARLOTTE DR
MCKINNEY TX
75071-7423
US

V. Phone/Fax

Practice location:
  • Phone: 214-385-7790
  • Fax: 214-872-6184
Mailing address:
  • Phone: 214-385-7790
  • Fax: 214-872-6184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number20091250
License Number StateTX

VIII. Authorized Official

Name: MRS. INIOLUWA OWOODUSI
Title or Position: ADMINISTRATOR
Credential: B.A
Phone: 214-385-7790