Provider Demographics
NPI:1124201546
Name:HOUSTON VAN LINE TAXIE EXPRESS
Entity type:Organization
Organization Name:HOUSTON VAN LINE TAXIE EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-433-7886
Mailing Address - Street 1:11315 FONDREN RD
Mailing Address - Street 2:APT 1405
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-2054
Mailing Address - Country:US
Mailing Address - Phone:832-433-7886
Mailing Address - Fax:832-433-7886
Practice Address - Street 1:11315 FONDREN RD
Practice Address - Street 2:APT 1405
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-2054
Practice Address - Country:US
Practice Address - Phone:832-433-7886
Practice Address - Fax:832-433-7886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)