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General NPI Number Information
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NPI Number | 1407184245
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Entity Type | Organization
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Legal Business Name | COVAD INC
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 2819 BLUE MIST DR
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City | SUGAR LAND
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State | TX
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Zip | 77498-4821
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Country | US
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Telephone | 832-566-7549
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Fax | 281-568-8546
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Provider Business Mailing Address
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Address Line | PO BOX 1070
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City | ALIEF
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State | TX
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Zip | 77411-1070
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Country | US
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Telephone | 832-566-7549
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Fax | 281-568-8546
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Authorized Official
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Title or Position | OWNER
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Name | ABEDNEGO MARSHALL
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Credential |
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Telephone | 832-566-7549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1000339
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License Number State | TX
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