Healthcare Provider Details

I. General information

NPI: 1164429809
Provider Name (Legal Business Name): GOLDEN TRANSPORT LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 N BROADWAY AVE STE B
ELSA TX
78543
US

IV. Provider business mailing address

PO BOX 1284
WESLACO TX
78599-1284
US

V. Phone/Fax

Practice location:
  • Phone: 956-262-7877
  • Fax: 956-968-5928
Mailing address:
  • Phone: 956-262-7877
  • Fax: 956-968-5928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number108054
License Number StateTX

VIII. Authorized Official

Name: MR. FRANCISCO J OLIVA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 956-472-4064