Provider Demographics
NPI:1154076743
Name:OASIS MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:OASIS MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKUNGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-487-0376
Mailing Address - Street 1:104 CONSTITUTION DR
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-4675
Mailing Address - Country:US
Mailing Address - Phone:469-487-0376
Mailing Address - Fax:
Practice Address - Street 1:2104 REGENCY DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4940
Practice Address - Country:US
Practice Address - Phone:469-487-0376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No347E00000XTransportation ServicesTransportation Broker