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NPI Code Detail

MEDICARE: LA'S ROYALTY TRANSPORTATION LLC

MEDICARE: LA'S ROYALTY TRANSPORTATION 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
1347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1265001127
Entity Type Code : Organization
Provider Name (Legal Business Name) : LA'S ROYALTY TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 5348 ROYAL BIRKDALE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76135-1406
Country : US
Telephone Number : 682-800-9555
Fax Number :
Provider Business Practice Location Address
First Line : 5348 ROYAL BIRKDALE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76135-1406
Country : US
Telephone Number : 682-800-9555
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VICTORIA DANIELS
Credential :
Telephone Number : 682-800-9555
Provider Enumeration Date : 06/23/2021
Last Update Date : 06/23/2021

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Directions to “LA'S ROYALTY TRANSPORTATION LLC ” Practice Location

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