Healthcare Provider Details

I. General information

NPI: 1477360436
Provider Name (Legal Business Name): HOJO TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 ALDERBROOK DR UNIT B
AUSTIN TX
78758-2413
US

IV. Provider business mailing address

12300 ALDERBROOK DR UNIT B
AUSTIN TX
78758-2413
US

V. Phone/Fax

Practice location:
  • Phone: 512-566-0195
  • Fax:
Mailing address:
  • Phone: 512-566-0195
  • 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: MS. ROSE M DAVIS
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 512-566-0195