Organization Name: | STEPHEN OGAVU |
NPI Number: | 1104068295 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN OGAVU (OWNER/CEO) |
Mailing Address: | 8213 Farthing Lane Rosharon |
State: | TX US |
Postal Code: | 775836634 |
Phone Number: | 8322288483 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2009 |
NPI Last Update Date: | 06/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1000163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |