Healthcare Provider Details

I. General information

NPI: 1750830741
Provider Name (Legal Business Name): VIRGO LINK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2016
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8811 ARCH ROCK DR
CYPRESS TX
77433-7227
US

IV. Provider business mailing address

8811 ARCH ROCK DR
CYPRESS TX
77433-7227
US

V. Phone/Fax

Practice location:
  • Phone: 804-616-1783
  • Fax:
Mailing address:
  • Phone: 804-616-1783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code332800000X
TaxonomyIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. NELSON NWANGANGA
Title or Position: CEO
Credential:
Phone: 804-616-1783