| NPI | 1235840141 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CHEADRICK PORTER Owner 409-383-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-20 |