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NPI Code Detail

MEDICARE: MUSA LOGISTICS INC,

MEDICARE: MUSA LOGISTICS INC,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1558849265
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUSA LOGISTICS INC,
Provider Business Mailing Address
First Line : 2008 WALNUT HILLS LN
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5032
Country : US
Telephone Number : 817-983-4700
Fax Number : 682-422-3105
Provider Business Practice Location Address
First Line : 2008 WALNUT HILLS LN
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5032
Country : US
Telephone Number : 817-983-4700
Fax Number : 682-422-3105
Authorized Official
Title or Position : CEO
Name : UBBAD GHANI
Credential : PRESIDENT
Telephone Number : 817-609-1593
Provider Enumeration Date : 08/03/2018
Last Update Date : 08/03/2018

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