Provider Demographics
NPI:1932353562
Name:SYLLA CORPORATION
Entity type:Organization
Organization Name:SYLLA CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IBOUN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SYLLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-484-6064
Mailing Address - Street 1:PO BOX 744245
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75374-4245
Mailing Address - Country:US
Mailing Address - Phone:214-464-6064
Mailing Address - Fax:
Practice Address - Street 1:10723 PLANO RD
Practice Address - Street 2:STE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-5349
Practice Address - Country:US
Practice Address - Phone:214-484-6064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport