Organization
T.L.T.T.B.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEIVA WYATT (CEO)
(832) 531-2953
Entity
Organization
Contact information
Practice address
19506 OLD BARNGATE LN, HOUSTON, TX 77073-2792
(832) 531-2953
Mailing address
19506 OLD BARNGATE LN., HOUSTON, TX 77073
(832) 531-2953
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
20627807
TX
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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