Organization
IMMACULATE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MILES (ADMINISTRATOR)
(281) 502-3204
Entity
Organization
Contact information
Practice address
12202 DOVER ST, HOUSTON, TX 77031-2826
(281) 502-3204
Mailing address
12202 DOVER ST, HOUSTON, TX 77031-2826
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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