Provider Demographics
NPI:1427927680
Name:DELLYMOORE MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:DELLYMOORE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BAMIDELE
Authorized Official - Middle Name:
Authorized Official - Last Name:OYEGUNLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-230-5243
Mailing Address - Street 1:8808 SADDLEHORN DR APT 319
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-6577
Mailing Address - Country:US
Mailing Address - Phone:469-230-5243
Mailing Address - Fax:
Practice Address - Street 1:8808 SADDLEHORN DR APT 319
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-6577
Practice Address - Country:US
Practice Address - Phone:469-230-5243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-04
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)