Healthcare Provider Details

I. General information

NPI: 1174380331
Provider Name (Legal Business Name): ST BERNARD NON EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14515 BRIARHILLS PKWY STE 103
HOUSTON TX
77077-1034
US

IV. Provider business mailing address

14515 BRIARHILLS PKWY STE 103
HOUSTON TX
77077-1034
US

V. Phone/Fax

Practice location:
  • Phone: 713-269-2717
  • Fax:
Mailing address:
  • Phone: 713-269-2717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: EDUWEN ESIN
Title or Position: PRESIDENT
Credential:
Phone: 713-469-8379