Provider Demographics
NPI:1215509856
Name:ARCHIE, EARNEST
Entity type:Individual
Prefix:MR
First Name:EARNEST
Middle Name:
Last Name:ARCHIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14405 WALTERS RD STE 840
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1351
Mailing Address - Country:US
Mailing Address - Phone:832-995-0031
Mailing Address - Fax:
Practice Address - Street 1:823 BEAVER BEND RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2001
Practice Address - Country:US
Practice Address - Phone:832-995-0031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company