Organization
BOOM TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDYN DEAN (CEO AND PRESIDENT)
(310) 948-6776
Entity
Organization
Contact information
Practice address
27222 FULSHEAR BEND DR APT 3308, FULSHEAR, TX 77441-1209
(310) 948-6776
Mailing address
27222 FULSHEAR BEND DR APT 3308, FULSHEAR, TX 77441-1209
(310) 948-6776
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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