Healthcare Provider Details

I. General information

NPI: 1356973812
Provider Name (Legal Business Name): NOAH'S SENIOR CHAUFFEURS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1474 AUTUMN LEAVES TRL
DALLAS TX
75241-1213
US

IV. Provider business mailing address

1474 AUTUMN LEAVES TRL
DALLAS TX
75241-1213
US

V. Phone/Fax

Practice location:
  • Phone: 214-729-3459
  • Fax:
Mailing address:
  • Phone: 214-729-3459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS RHONDA DARSELLE WOODS
Title or Position: OWNER
Credential: MED
Phone: 214-729-3459