Healthcare Provider Details

I. General information

NPI: 1588456404
Provider Name (Legal Business Name): ZYLO PRESTIGE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1614 TULARE DR
ALLEN TX
75002-6467
US

IV. Provider business mailing address

1614 TULARE DR
ALLEN TX
75002-6467
US

V. Phone/Fax

Practice location:
  • Phone: 214-684-6754
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ETSEGENET TADESSE
Title or Position: MANAGER
Credential:
Phone: 214-684-6754