Healthcare Provider Details

I. General information

NPI: 1609635150
Provider Name (Legal Business Name): BYFAITH TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 03/18/2024
Certification Date: 03/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LITTLE ELM TRL UNIT 1307
CEDAR PARK TX
78613-2864
US

IV. Provider business mailing address

1400 LITTLE ELM TRL UNIT 1307
CEDAR PARK TX
78613-2864
US

V. Phone/Fax

Practice location:
  • Phone: 512-740-5845
  • Fax:
Mailing address:
  • Phone: 512-740-5845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. TOMAS SILESHI
Title or Position: MANAGER
Credential:
Phone: 512-740-5845