Organization
PORTER TRANSPORTATION LLC
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
CHEADRICK PORTER SR. (OWNER)
(409) 383-8350
Entity
Organization
Contact information
Practice address
3004 OAK CREST ST, JASPER, TX 75951-2065
(409) 338-2760
Mailing address
3004 OAK CREST ST, JASPER, TX 75951-2065
(409) 338-2760
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790452746
NATIONAL PROVIDER NUMBER-INDIVIDUAL
TX
Enumeration date
12/12/2022
Last updated
12/20/2022
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