Provider Demographics
NPI:1528763208
Name:AUS BEST MEDTRANS LLC
Entity type:Organization
Organization Name:AUS BEST MEDTRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MODESTE
Authorized Official - Middle Name:RODRIGUE
Authorized Official - Last Name:KENFACK DJOUAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-208-3710
Mailing Address - Street 1:1101 THORPE LN # 105-520
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7105
Mailing Address - Country:US
Mailing Address - Phone:512-361-1247
Mailing Address - Fax:
Practice Address - Street 1:1101 THORPE LN # 105-520
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7105
Practice Address - Country:US
Practice Address - Phone:512-361-1247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)