MEDICARE: NOELLE & PHILIPS TRANSPORT 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1518769645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOELLE & PHILIPS TRANSPORT LLC

Provider Business Mailing Address
First Line	:	1217 VERHEYDEN DR
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-1253
Country	:	US
Telephone Number	:	214-315-2392
Fax Number	:

Provider Business Practice Location Address
First Line	:	1217 VERHEYDEN DR
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-1253
Country	:	US
Telephone Number	:	214-315-2392
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	OLANIYI SOYEBO
Credential	:
Telephone Number	:	214-315-2392

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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Directions to “NOELLE & PHILIPS TRANSPORT LLC ” Practice Location

Language	Start Address	Practice Location

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