NPI 1023718491

Godsgrace

Organisation Secured Medical Transport (VAN) Pantego, TX

Practice location

Address: 3610 W Pioneer Pkwy STE 103, Pantego, TX 76013-4502
Phone: (469) 254-5166
Mailing address: 2212 E Park Row Dr APT L, Arlington, TX 76010-4816

Authorised official

Name: Abiola Hammed Odu
Title: Owner
Phone: (469) 254-5166

Registered specialties (3)

Secured Medical Transport (VAN) Primary

Transportation Services Taxonomy 343800000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Driver

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1023718491
Entity type: Organization
NPI issued: 6 Mar 2023
Record last updated: 8 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.