Healthcare Provider Details

I. General information

NPI: 1760227748
Provider Name (Legal Business Name): ZIBANI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024
Certification Date: 06/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9442 AMETHYST GLEN DR
ROSHARON TX
77583-2584
US

IV. Provider business mailing address

9442 AMETHYST GLEN DR
ROSHARON TX
77583-2584
US

V. Phone/Fax

Practice location:
  • Phone: 346-933-0310
  • Fax:
Mailing address:
  • Phone: 346-933-0310
  • 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. IFEANYICHUKWU GERALD METUIWE
Title or Position: CEO
Credential:
Phone: 346-933-0310