Provider Demographics
NPI:1811702129
Name:NORTH DALLAS SERVICES LLC
Entity type:Organization
Organization Name:NORTH DALLAS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:682-407-7779
Mailing Address - Street 1:2128 COVEY CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-3714
Mailing Address - Country:US
Mailing Address - Phone:682-407-7779
Mailing Address - Fax:
Practice Address - Street 1:9300 JOHN HICKMAN PKWY STE 302
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5961
Practice Address - Country:US
Practice Address - Phone:682-407-7779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company