Provider Demographics
NPI:1386429215
Name:TATA TRANSPORTATION LLC
Entity type:Organization
Organization Name:TATA TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:EDOSA
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:214-604-4882
Mailing Address - Street 1:2018 COURT PL
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-4803
Mailing Address - Country:US
Mailing Address - Phone:214-604-4882
Mailing Address - Fax:
Practice Address - Street 1:2018 COURT PL
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-4803
Practice Address - Country:US
Practice Address - Phone:214-604-4882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)