Provider Demographics
NPI:1588259287
Name:COLLIN COUNTY TRANSPORTATION LLC
Entity type:Organization
Organization Name:COLLIN COUNTY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-952-7772
Mailing Address - Street 1:8992 PRESTON RD # 110-407
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-3965
Mailing Address - Country:US
Mailing Address - Phone:469-952-7772
Mailing Address - Fax:
Practice Address - Street 1:7172 SAINT AUGUSTINE DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3156
Practice Address - Country:US
Practice Address - Phone:469-952-7772
Practice Address - Fax:469-519-4950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)