NPI: 1861075616 · GRAND PRAIRIE, TX 75052 · Non-emergency Medical Transport (VAN) · NPI assigned 04/29/2021
| Authorized Official | SHAMUYARIRA, ELISHA (OWNER) |
| NPI Enumeration Date | 04/29/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 452 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0100 | Non-emergency transportation; taxi | 452 | 216 | $15K |