Most Relevant Information
Provider Data
| NPI Number: | 1003655648 |
| Provider Name: | AUGUSTIN NTIRANDEKURA |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2024 |
| Last Updated: | 05/22/2024 |
Provider Practice Location
5033 IVY WOOD LN APT 931
FORT WORTH
TX
761154056
Practice Location Phone/Fax
| Phone: | 6823023391 |
| Fax: |
Provider Mailing Location
5033 IVY WOOD LN APT 931
FORT WORTH
TX
761154056
Provider Mailing Phone/Fax
| Phone: | 6823023391 |
| Fax: |