Provider Demographics
NPI:1023796315
Name:OCUBES LLC
Entity type:Organization
Organization Name:OCUBES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BODUN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAMUYIWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-758-7900
Mailing Address - Street 1:4214 GLENEAGLES DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6848
Mailing Address - Country:US
Mailing Address - Phone:682-758-7900
Mailing Address - Fax:
Practice Address - Street 1:4214 GLENEAGLES DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6848
Practice Address - Country:US
Practice Address - Phone:682-758-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)