First Crossla LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

FIRST CROSSLA LLC

Practice address

14455 Preston Rd Apt 108
Dallas, TX 75254-8540

Phone

(512) 300-1829

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Staton Omo-Abu, MDNPI 1881466548

Title

Admin

Phone

(512) 300-1829

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Staton Omo-Abu

  • Technician
  • Dallas, TX
  • NPI 1881466548
  NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1891569646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14455 PRESTON RD APT 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548540",
            "telephone_number": "512-300-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 PRESTON RD APT 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548540",
            "telephone_number": "512-300-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CROSSLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "OMO-ABU",
        "authorized_official_first_name": "STATON",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "512-300-1829",
        "authorized_official_credential": "MD"
    },
    "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 Dallas, TX
• Providers in Dallas, 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 13, 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.