Healthcare Provider Details

I. General information

NPI: 1942908082
Provider Name (Legal Business Name): A1-TPL SIGNING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24502 FOREST PATH CT
SPRING TX
77373-7672
US

IV. Provider business mailing address

24502 FOREST PATH CT
SPRING TX
77373-7672
US

V. Phone/Fax

Practice location:
  • Phone: 832-642-2777
  • Fax: 281-651-9085
Mailing address:
  • Phone: 832-642-2777
  • Fax: 281-651-9085

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 TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. TAJUANA RENEA PARKER-LAWS
Title or Position: OWNER
Credential:
Phone: 832-642-2777