Glade Crescent

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

GLADE CRESCENT

Practice address

2823 Lemonwood LN
Katy, TX 77494-7991

Phone

(615) 554-4897

NPI assigned

Nov 16, 2024

Last updated

Nov 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abolore Ogunsola

Title

Director

Phone

(615) 554-4897

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1205651155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 LEMONWOOD LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947991",
            "telephone_number": "615-554-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 LEMONWOOD LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947991",
            "telephone_number": "615-554-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADE CRESCENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "OGUNSOLA",
        "authorized_official_first_name": "ABOLORE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-554-4897"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Katy, TX
• Providers in Katy, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.