Provider Demographics
NPI:1154066033
Name:OMAR, ROLA MAHMOUD
Entity Type:Individual
Prefix:MS
First Name:ROLA
Middle Name:MAHMOUD
Last Name:OMAR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ROLA
Other - Middle Name:
Other - Last Name:OMAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNR 365 SOLUTIONS
Mailing Address - Street 1:2221 BURGANDY DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-4655
Mailing Address - Country:US
Mailing Address - Phone:361-563-5415
Mailing Address - Fax:
Practice Address - Street 1:2221 BURGANDY DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-4655
Practice Address - Country:US
Practice Address - Phone:361-563-5415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)Group - Single Specialty