=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801260542
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | D' POLVO LOGISTICS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2015
-----------------------------------------------------
Last Update Date | 10/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14805 LADD RD
-----------------------------------------------------
City | ATASCOSA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78002-3460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-667-6095
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14805 LADD RD
-----------------------------------------------------
City | ATASCOSA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78002-3460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-667-6095
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANGER
-----------------------------------------------------
Name | MR. JOSEPH M SOLANO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 210-667-6095
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------