| Organization Name: | CRYSTAL MAS INTERNATIONAL |
| NPI Number: | 1023362084 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLAMIDE ADEYEMI (OWNER) |
| Mailing Address: | 4101 Airport Fwy Suite 227 Bedford |
| State: | TX US |
| Postal Code: | 760216130 |
| Phone Number: | 8178681040 |
| Fax Number: | 8178681042 |
| NPI Enumeration Date: | 10/30/2012 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1000833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |