Provider Demographics
NPI:1073361408
Name:SUMEXUS LLC
Entity type:Organization
Organization Name:SUMEXUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUBASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-997-4733
Mailing Address - Street 1:2442 SOUTH COLLINS STREET
Mailing Address - Street 2:STE 108 PMB 1133
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-1247
Mailing Address - Country:US
Mailing Address - Phone:956-498-5676
Mailing Address - Fax:
Practice Address - Street 1:2442 SOUTH COLLINS STREET
Practice Address - Street 2:STE 108 PMB 1133
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-7601
Practice Address - Country:US
Practice Address - Phone:817-997-4733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle