Provider Demographics
NPI:1558849265
Name:MUSA LOGISTICS INC,
Entity Type:Organization
Organization Name:MUSA LOGISTICS INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:UBBAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GHANI
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:817-609-1593
Mailing Address - Street 1:2008 WALNUT HILLS LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5032
Mailing Address - Country:US
Mailing Address - Phone:817-983-4700
Mailing Address - Fax:682-422-3105
Practice Address - Street 1:2008 WALNUT HILLS LN
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5032
Practice Address - Country:US
Practice Address - Phone:817-983-4700
Practice Address - Fax:682-422-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)