Healthcare Provider Details

I. General information

NPI: 1710545942
Provider Name (Legal Business Name): GREEN BIRD TRANSPORT NON-EMERGENCY TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7315 ALTAIR LOOP
SAN ANTONIO TX
78252-2339
US

IV. Provider business mailing address

7315 ALTAIR LOOP
SAN ANTONIO TX
78252-2339
US

V. Phone/Fax

Practice location:
  • Phone: 210-997-2473
  • Fax:
Mailing address:
  • Phone: 210-997-2473
  • 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: RENA ZAMARRIPA
Title or Position: OWNER
Credential:
Phone: 210-997-2473