MEDICARE: WOODLENNIUM TRANSPORTATION SERVICES

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	:	1649051525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLENNIUM TRANSPORTATION SERVICES

Provider Business Mailing Address
First Line	:	2717 STRAND LN
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-8683
Country	:	US
Telephone Number	:	214-334-4169
Fax Number	:

Provider Business Practice Location Address
First Line	:	2717 STRAND LN
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-8683
Country	:	US
Telephone Number	:	214-334-4169
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LARRY HENRY WOODS
Credential	:
Telephone Number	:	214-334-4169

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	10/09/2023

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