Healthcare Provider Details

I. General information

NPI: 1366979353
Provider Name (Legal Business Name): AKINSMAQ FT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20210 BENTON SPRINGS LN
RICHMOND TX
77407-2674
US

IV. Provider business mailing address

20210 BENTON SPRINGS LN
RICHMOND TX
77407-2674
US

V. Phone/Fax

Practice location:
  • Phone: 832-768-6885
  • Fax:
Mailing address:
  • Phone: 832-768-6885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. KOLADE AKINYEMI AKINDEJOYE
Title or Position: OWNER
Credential:
Phone: 832-768-6885