Provider Demographics
NPI:1649502469
Name:CONSTO TRADES LLP
Entity type:Organization
Organization Name:CONSTO TRADES LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUGBENGA
Authorized Official - Middle Name:B
Authorized Official - Last Name:AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-691-1595
Mailing Address - Street 1:4621 S COOPER ST
Mailing Address - Street 2:#131-352
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-5866
Mailing Address - Country:US
Mailing Address - Phone:817-691-1595
Mailing Address - Fax:
Practice Address - Street 1:4621 S COOPER ST
Practice Address - Street 2:#131-352
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5866
Practice Address - Country:US
Practice Address - Phone:817-691-1595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSTO TRADES LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)