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General NPI Number Information
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NPI Number | 1639998164
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Entity Type | Organization
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Legal Business Name | CENTRIMAX VENTURES LLC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 550 BROKEN BOULDER ST
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City | MAGNOLIA
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State | TX
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Zip | 77354-7096
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Country | US
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Telephone | 979-588-2213
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 979-588-2213
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. SOLOMON ERUEMULOR UGBAJA
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Credential | MBA
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Telephone | 979-588-2213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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