Healthcare Provider Details

I. General information

NPI: 1164243770
Provider Name (Legal Business Name): BEMBEL LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 ELAINA LOOP
LEANDER TX
78641-2744
US

IV. Provider business mailing address

1720 ELAINA LOOP
LEANDER TX
78641-2744
US

V. Phone/Fax

Practice location:
  • Phone: 512-264-4348
  • Fax:
Mailing address:
  • Phone: 512-264-4348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. KASU GIRMA
Title or Position: OWNER
Credential:
Phone: 512-264-4348