MEDICARE: W1 PROPERTIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	342000000X	Transportation Network Company
2	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1174202014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	W1 PROPERTIES LLC

Provider Business Mailing Address
First Line	:	3308 MEDICAL TRIANGLE ST
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-2424
Country	:	US
Telephone Number	:	409-549-4919
Fax Number	:

Provider Business Practice Location Address
First Line	:	3308 MEDICAL TRIANGLE ST
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-2424
Country	:	US
Telephone Number	:	409-549-4919
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ZULEMA ESCOBEDO
Credential	:
Telephone Number	:	409-549-4919

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	08/21/2023

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Directions to “W1 PROPERTIES LLC ” Practice Location

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