Healthcare Provider Details

I. General information

NPI: 1215445697
Provider Name (Legal Business Name): GLOBAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 01/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6934 E BEN WHITE BLVD APT 8206
AUSTIN TX
78741-0038
US

IV. Provider business mailing address

6934 E BEN WHITE BLVD APT 8206
AUSTIN TX
78741-0038
US

V. Phone/Fax

Practice location:
  • Phone: 512-938-9057
  • Fax:
Mailing address:
  • Phone: 512-938-9057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DAWIT SEMERE FSHAYE
Title or Position: MANAGING MEMBER
Credential:
Phone: 512-938-9057