MEDICARE: FEMMSON ENTERPRISES

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
1	343900000X	Non-emergency Medical Transport (VAN)		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1295102309	OTHER	TX	PERSONAL NPI
2	1295102309	OTHER	TX	NPI

General Provider Information

NPI Number	:	1811362346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEMMSON ENTERPRISES

Provider Business Mailing Address
First Line	:	2613 HAWCO DR APT 1822
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-7668
Country	:	US
Telephone Number	:	214-705-5047
Fax Number	:

Provider Business Practice Location Address
First Line	:	2613 HAWCO DR APT 1822
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-7668
Country	:	US
Telephone Number	:	214-705-5047
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	ADEBOWALE ALAO ADEDEJI
Credential	:
Telephone Number	:	214-705-5047

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	12/09/2015

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Directions to “FEMMSON ENTERPRISES ” Practice Location

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