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General NPI Number Information
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NPI Number | 1932964335
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Entity Type | Organization
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Legal Business Name | WE-REP-MED LLC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 11999 KATY FWY STE 150O
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City | HOUSTON
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State | TX
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Zip | 77079-1629
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Country | US
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Telephone | 832-375-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 11999 KATY FWY STE 150O
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City | HOUSTON
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State | TX
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Zip | 77079-1629
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Country | US
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Telephone | 832-375-9400
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATORS
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Name | OYERINDE SAMUEL AKANDE
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Credential |
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Telephone | 832-375-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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