Healthcare Provider Details

I. General information

NPI: 1598484537
Provider Name (Legal Business Name): WOWW EXPRESS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15218 LIBERTY STA
SAN ANTONIO TX
78253-4052
US

IV. Provider business mailing address

15218 LIBERTY STA
SAN ANTONIO TX
78253-4052
US

V. Phone/Fax

Practice location:
  • Phone: 210-847-8407
  • Fax:
Mailing address:
  • Phone: 210-847-8407
  • 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: MARGARET MUTIZWA
Title or Position: FOUNDER/CEO
Credential:
Phone: 210-847-8407