Provider Demographics
NPI:1457967846
Name:ARTAN, LIBAN AWL
Entity Type:Individual
Prefix:
First Name:LIBAN
Middle Name:AWL
Last Name:ARTAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 FINLEY RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2975
Mailing Address - Country:US
Mailing Address - Phone:763-222-7082
Mailing Address - Fax:
Practice Address - Street 1:4009 FINLEY RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2975
Practice Address - Country:US
Practice Address - Phone:763-222-7082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)