Organization
WS TRANSPORTATION
Active
Organization
WS TRANSPORTATION
Active
Other names
NEMT Driver
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE SMITH II (OWNER)
(817) 704-9583
Entity
Organization
Contact information
Practice address
1612 CHACON CANYON DR, DESOTO, TX 75115-7782
(817) 704-9583
Mailing address
1612 CHACON CANYON DR, DESOTO, TX 75115-7782
(817) 704-9583
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154149771
—
TX
Enumeration date
10/14/2024
Last updated
10/23/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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