| Godsgrace | |
|
3610 W Pioneer Pkwy Ste 103 Pantego TX 76013-4502 | |
| (469) 254-5166 | |
| Not Available |
| Full Name | Godsgrace |
|---|---|
| Speciality | Secured Medical Transport (van) |
| Location | 3610 W Pioneer Pkwy Ste 103, Pantego, Texas |
| Authorized Official Name and Position | Abiola Hammed Odu (OWNER) |
| Authorized Official Contact | 4692545166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Godsgrace 2212 E Park Row Dr Apt L Arlington TX 76010-4816 Ph: (469) 254-5166 | Godsgrace 3610 W Pioneer Pkwy Ste 103 Pantego TX 76013-4502 Ph: (469) 254-5166 |
| NPI Number | 1023718491 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023718491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
| 343800000X | Secured Medical Transport (van) | (* (Not Available)) | Primary |
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