| Doctor Name: | MS. BENDU NORWU ROBERTS |
| NPI Number: | 1841650835 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2100 N Hwy 360 Suite 1105 Grand Prairie, TX - 750501011 |
| Business Phone Number: | 9712261892 |
| Business Fax Number: | |
| Mailing Address: | 2100 N Hwy 360, Suite 1105 GRAND PRAIRIE |
| State: | TX |
| Postal Code: | 750501011 |
| Phone Number: | 9712261892 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2016 |
| NPI Last Update Date: | 03/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |