Provider Demographics
NPI:1811362346
Name:FEMMSON ENTERPRISES
Entity Type:Organization
Organization Name:FEMMSON ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEBOWALE
Authorized Official - Middle Name:ALAO
Authorized Official - Last Name:ADEDEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-705-5047
Mailing Address - Street 1:2613 HAWCO DR APT 1822
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7668
Mailing Address - Country:US
Mailing Address - Phone:214-705-5047
Mailing Address - Fax:
Practice Address - Street 1:2613 HAWCO DR APT 1822
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7668
Practice Address - Country:US
Practice Address - Phone:214-705-5047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEMMSON ENTERPRISES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1295102309OtherPERSONAL NPI
TX1295102309OtherNPI