=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104513324
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAHIL TRANSPORTATION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2023
-----------------------------------------------------
Last Update Date | 04/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2706 SE LOOP 820
-----------------------------------------------------
City | FORT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76140-1011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-819-4594
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2706 SE LOOP 820
-----------------------------------------------------
City | FORT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76140-1011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-819-4594
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | AZIZ I MUSA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 817-819-4594
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------