| NPI | 1043756612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARHONDA M HOLLOMAN Owner 512-200-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |