Organization
E.L.L D TRANSPORT LC
Active
Other names
E.L.L D TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVERN DANIELS JR. (CEO)
(469) 518-3009
Entity
Organization
Contact information
Practice address
9535 FOREST LN STE 119, DALLAS, TX 75243-6120
(469) 518-3009
Mailing address
9535 FOREST LN STE 119, DALLAS, TX 75243-6120
(469) 518-3009
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
—
—
261QA0006X
Ambulatory Fertility Facility
—
—
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
—
—
261QM1103X
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
—
—
341600000X
Ambulance
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
07/18/2023
Last updated
10/16/2023
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