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Irenee A. Lebuabanga
Non-emergency Medical Transport (VAN) in Grand Prairie, Texas
NPI 1174136881

Irenee A. Lebuabanga is a Non-emergency Medical Transport (VAN) based in Grand Prairie, TX. Irenee A. Lebuabanga practices in Grand Prairie, TX. The NPI Number for Irenee A. Lebuabanga is 1174136881 and holds a License No. (Texas).

The current practice location address for Irenee A. Lebuabanga is 2669 Grand Colonial St, Grand Prairie, TX and can be reached out via phone at 817-992-9138 and via fax at 817-404-4727.

Location: 2669 Grand Colonial St, Grand Prairie, TX, 75054-0258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174136881
Provider Name
Irenee A. Lebuabanga
Credential
Provider Entity Type
Organization
Address
2669 Grand Colonial St, Grand Prairie, TX, 75054-0258
Phone Number
817-992-9138
Fax Number
817-404-4727
Provider Enumeration Date
08/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2669 Grand Colonial St
City
Grand Prairie
State
Texas
Zip
75054-0258
Phone Number
817-992-9138
Fax Number
817-404-4727
person
Provider Business Mailing Address Details
Address
2669 Grand Colonial St
City
Grand Prairie
State
Texas
Zip
75054-0258
Phone Number
817-992-9138
Fax Number
817-404-4727
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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