Provider Demographics
NPI:1528448099
Name:EXCELLENT TRANSPORTATION
Entity type:Organization
Organization Name:EXCELLENT TRANSPORTATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DREYFUS
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-855-0726
Mailing Address - Street 1:2201 OREM DR
Mailing Address - Street 2:SUITE1211
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-4705
Mailing Address - Country:US
Mailing Address - Phone:972-855-0726
Mailing Address - Fax:972-855-0726
Practice Address - Street 1:2201 OREM DR
Practice Address - Street 2:SUITE 1211
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-4705
Practice Address - Country:US
Practice Address - Phone:972-855-0726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-31
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347E00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker