Organization
SHADOW TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEMARIAM N DESTA (MANAGER)
(512) 363-7658
Entity
Organization
Contact information
Practice address
4805 PEAR LIGHT RD, MANOR, TX 78653-2638
(512) 299-4351
Mailing address
4805 PEAR LIGHT RD, MANOR, TX 78653-2638
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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