MEDICARE: GOGREEN CAB LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1730612789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOGREEN CAB LLC

Provider Business Mailing Address
First Line	:	3409 EXECUTIVE CENTER DR STE 210
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-1641
Country	:	US
Telephone Number	:	512-913-5899
Fax Number	:	512-472-4708

Provider Business Practice Location Address
First Line	:	3409 EXECUTIVE CENTER DR STE 210
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-1641
Country	:	US
Telephone Number	:	512-913-5899
Fax Number	:	512-472-4708

Authorized Official
Title or Position	:	PARTNER/MANAGER
Name	:	MR. GLEN GONNET
Credential	:
Telephone Number	:	512-472-3238

Provider Enumeration Date	:	04/06/2017
Last Update Date	:	04/06/2017

Similar Medicare Providers

1508020181 — COSMOS HOSPICE OF AUSTIN, LLC
Practice Location Address:

3409 EXECUTIVE CENTER DR , SUITE 241
AUSTIN, TX
78731-1641

Practice Phone: 281-703-9990
Practice Fax: 281-277-0774

1154692895 — DONNA PFEFFER MED, LPC
Practice Location Address:

3409 EXECUTIVE CENTER DR STE 210 , BUCHANAN BUILDING
AUSTIN, TX
78731-1641

Practice Phone: 512-917-5922
Practice Fax:

1427911015 — HEALING HAVEN PSYCHOTHERAPY PLLC
Practice Location Address:

2204 WESTERN TRAILS BLVD STE 104
AUSTIN, TX
78745-1641

Practice Phone: 737-231-1507
Practice Fax:

1659326213 — MS. MARY JORDAN COLEY FNP
Practice Location Address:

907 POST OAK ST
AUSTIN, TX
78704-1641

Practice Phone: 512-731-4747
Practice Fax:

1952495814 — RUTH SWEETSER
Practice Location Address:

702 17TH ST SW
AUSTIN, MN
55912-1641

Practice Phone: 507-433-9151
Practice Fax:

1972804169 — LONE STAR EYE PLLC
Practice Location Address:

2700 BARTON CREEK BLVD , SUITE 110
AUSTIN, TX
78735-1641

Practice Phone: 512-328-7300
Practice Fax: 512-328-7303

Directions to “GOGREEN CAB LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.