Healthcare Provider Details

I. General information

NPI: 1386813780
Provider Name (Legal Business Name): SEXTON ENTERPRISES DBA YELLOW CAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 ERSKINE ST
LUBBOCK TX
79415-2007
US

IV. Provider business mailing address

2307 ERSKINE ST
LUBBOCK TX
79415-2007
US

V. Phone/Fax

Practice location:
  • Phone: 806-765-5456
  • Fax:
Mailing address:
  • Phone: 806-765-5456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number2007-2008
License Number StateTX

VIII. Authorized Official

Name: RHONDA GLASS
Title or Position: BUSINESS MANAGER
Credential:
Phone: 806-765-5456