Abiola Hammed Odu

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Practice address

3610 W Pioneer Pkwy Ste 103
Pantego, TX 76013-4502

Phone

(469) 254-5166

NPI assigned

Mar 7, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Godsgrace

  • Secured Medical Transport (VAN)
  • Pantego, TX
  • NPI 1023718491
  NPD Authorized official

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1366142499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 E PARK ROW DR APT L",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760104816",
            "telephone_number": "469-254-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W PIONEER PKWY STE 103",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134502",
            "telephone_number": "469-254-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODU",
        "first_name": "ABIOLA",
        "middle_name": "HAMMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Network Company in Pantego, TX
• Providers in Pantego, TX by specialty
• Transportation Network Company in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.