Healthcare Provider Details

I. General information

NPI: 1013756618
Provider Name (Legal Business Name): LIONS WAY TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 LITTLE TEXAS LN APT 414
AUSTIN TX
78745-4108
US

IV. Provider business mailing address

401 LITTLE TEXAS LN APT 414
AUSTIN TX
78745-4108
US

V. Phone/Fax

Practice location:
  • Phone: 737-666-2192
  • Fax:
Mailing address:
  • Phone: 737-666-2192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA RAMIREZ
Title or Position: OWNER
Credential:
Phone: 737-666-2192