Healthcare Provider Details

I. General information

NPI: 1124643663
Provider Name (Legal Business Name): FAYES METROPLEX TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 06/10/2020
Certification Date: 06/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 LITTLE FOX DR
DALLAS TX
75253-5077
US

IV. Provider business mailing address

1106 LITTLE FOX DR
DALLAS TX
75253-5077
US

V. Phone/Fax

Practice location:
  • Phone: 214-641-8507
  • Fax:
Mailing address:
  • Phone: 214-641-8507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: SHIRLEY MAXWELL
Title or Position: OWNER
Credential:
Phone: 214-641-8507