Provider Demographics
NPI:1093462061
Name:MY PAL
Entity Type:Organization
Organization Name:MY PAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:ADEOLA
Authorized Official - Last Name:OLADIMEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-218-4484
Mailing Address - Street 1:12720 BRANT ROCK DR APT 314
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5437
Mailing Address - Country:US
Mailing Address - Phone:346-218-4484
Mailing Address - Fax:
Practice Address - Street 1:12720 BRANT ROCK DR APT 314
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-5437
Practice Address - Country:US
Practice Address - Phone:346-218-4484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty