Healthcare Provider Details

I. General information

NPI: 1881478832
Provider Name (Legal Business Name): RYDEWELL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24624 INTERSTATE 45 N STE 200
SPRING TX
77386-4084
US

IV. Provider business mailing address

28322 RABBITT TRL
SPRING TX
77386-4788
US

V. Phone/Fax

Practice location:
  • Phone: 346-244-3525
  • Fax:
Mailing address:
  • Phone: 346-244-3525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: NIKIA HICKS
Title or Position: OWNER / MANAGING MEMBER
Credential:
Phone: 346-244-3525