Healthcare Provider Details

I. General information

NPI: 1649980251
Provider Name (Legal Business Name): SPEARHEAD OF ALL LOGISTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27603 SUNSET LOOP
SAN ANTONIO TX
78266-3901
US

IV. Provider business mailing address

27603 SUNSET LOOP
SAN ANTONIO TX
78266-3901
US

V. Phone/Fax

Practice location:
  • Phone: 210-419-5575
  • Fax:
Mailing address:
  • Phone: 210-419-5575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: HAMIDAH BROWN
Title or Position: SOLE MANAGER
Credential:
Phone: 210-419-5575