Healthcare Provider Details

I. General information

NPI: 1538808183
Provider Name (Legal Business Name): TRUSTEDUNITEDTRANSPORTATION LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 BULVERDE PKWY
SAN ANTONIO TX
78259-2297
US

IV. Provider business mailing address

4011 BULVERDE PKWY
SAN ANTONIO TX
78259-2297
US

V. Phone/Fax

Practice location:
  • Phone: 832-739-0905
  • Fax:
Mailing address:
  • Phone: 832-739-0905
  • 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. NICHOLAUS SMITH
Title or Position: OWNER
Credential:
Phone: 832-739-0905