Healthcare Provider Details

I. General information

NPI: 1649406372
Provider Name (Legal Business Name): PERSONAL DRIVER PERSONAL ASSISTANT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 06/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5090 RICHMOND AVE 256
HOUSTON TX
77056-7402
US

IV. Provider business mailing address

5090 RICHMOND AVE 256
HOUSTON TX
77056-7402
US

V. Phone/Fax

Practice location:
  • Phone: 832-717-1471
  • Fax: 832-717-1481
Mailing address:
  • Phone: 832-717-1471
  • Fax: 832-717-1481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: APRIL THOMAS
Title or Position: DIRECTOR
Credential:
Phone: 832-717-1471