Healthcare Provider Details

I. General information

NPI: 1548403017
Provider Name (Legal Business Name): VW TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 04/14/2009
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: 281-460-9219
  • Fax: 888-437-5553
Mailing address:
  • Phone: 281-460-9219
  • Fax: 888-437-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number006224963C
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number006224963C
License Number StateTX

VIII. Authorized Official

Name: APRIL THOMAS
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 281-460-9219