Provider Demographics
NPI:1518406867
Name:ALMANFI, AYAT
Entity Type:Individual
Prefix:
First Name:AYAT
Middle Name:
Last Name:ALMANFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 BRICK ROW DR APT 2220
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-4911
Mailing Address - Country:US
Mailing Address - Phone:972-799-5161
Mailing Address - Fax:
Practice Address - Street 1:744 BRICK ROW DR APT 2220
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4911
Practice Address - Country:US
Practice Address - Phone:972-799-5161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-20
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)