# ELITE TRANSPORTATION SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ELITE TRANSPORTATION SOLUTIONS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760187207
- **Authorized official:** TIFFANY GOOSBY (OWNER/OPERATOR)
- **Authorized official phone:** (580) 634-1432

## Contact information

- **Practice address:** 811 N 9TH AVE, DURANT, OK 74701-3727
- **Practice address phone:** (580) 634-1432
- **Mailing address:** 811 N 9TH AVE, DURANT, OK 74701-3727
- **Mailing address phone:** (580) 634-1432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | — |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |
| 282E00000X | Long Term Care Hospital | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 04/04/2023