Healthcare Provider Details

I. General information

NPI: 1285818252
Provider Name (Legal Business Name): AMERICAN PONY EXPRESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 W PRINCE RD
TUCSON AZ
85705-3135
US

IV. Provider business mailing address

1101 W PRINCE RD
TUCSON AZ
85705-3135
US

V. Phone/Fax

Practice location:
  • Phone: 520-888-2996
  • Fax: 520-690-0464
Mailing address:
  • Phone: 520-888-2996
  • Fax: 520-690-0464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateAZ

VIII. Authorized Official

Name: MR. GREGORY M GIRARD
Title or Position: PRESIDENT
Credential:
Phone: 520-888-2996