Healthcare Provider Details

I. General information

NPI: 1386442028
Provider Name (Legal Business Name): TIK TOK AMERICAN RIDES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2033 STRAWBERRY CITY RD
POTEET TX
78065-4399
US

IV. Provider business mailing address

2033 STRAWBERRY CITY RD
POTEET TX
78065-4399
US

V. Phone/Fax

Practice location:
  • Phone: 210-914-3454
  • Fax:
Mailing address:
  • Phone: 210-914-3454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. ABDULKARIM SEYDALZADEH
Title or Position: OWNER
Credential:
Phone: 210-914-3454