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NPI Code Detail

MEDICARE: ABOLE&M TRANSPORTATION LLC

MEDICARE: ABOLE&M TRANSPORTATION LLC
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 : 1679278931
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABOLE&M TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 5801 PRESTON OAKS RD, UNIT #1422
Second Line :
City : DALLAS
State : TX
Zip : 75254
Country : US
Telephone Number : 469-569-7138
Fax Number :
Provider Business Practice Location Address
First Line : 5801 PRESTON OAKS RD, UNIT #1422
Second Line :
City : DALLAS
State : TX
Zip : 75254
Country : US
Telephone Number : 469-569-7138
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MIKIAS FETENE
Credential :
Telephone Number : 469-569-7138
Provider Enumeration Date : 04/04/2023
Last Update Date : 04/04/2023

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Directions to “ABOLE&M TRANSPORTATION LLC ” Practice Location

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