Provider Demographics
NPI:1114704046
Name:RAISING STAR TRANSPORTATION INC
Entity type:Organization
Organization Name:RAISING STAR TRANSPORTATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:USORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-498-6408
Mailing Address - Street 1:7322 SOUTHWEST FWY STE 755
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2135
Mailing Address - Country:US
Mailing Address - Phone:281-502-3200
Mailing Address - Fax:
Practice Address - Street 1:7322 SOUTHWEST FWY STE 755
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2135
Practice Address - Country:US
Practice Address - Phone:281-502-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)