Organization
1 CALL NON-EMERGENCY TRANSPORTATION SERVICE
Active
Parent organization
1 CALL NON-EMERGENCY TRANSPORTATION SERVICE
Other names
On Site Auto Detail
Organization subpart
Yes
Provider details
NPI number
Legal business name
1 CALL NON-EMERGENCY TRANSPORTATION SERVICE
Authorized official
RAY A ROUGEAUX (OWNER)
(469) 774-7483
Entity
Organization
Contact information
Practice address
12704 BRUCE DR, BALCH SPRINGS, TX 75180-5301
(469) 774-7483
Mailing address
12704 BRUCE DR, BALCH SPRINGS, TX 75180-5301
(469) 774-7483
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780304915
—
TX
Enumeration date
09/30/2022
Last updated
04/09/2024
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