Provider Demographics
NPI:1730612789
Name:GOGREEN CAB LLC
Entity type:Organization
Organization Name:GOGREEN CAB LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONNET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-472-3238
Mailing Address - Street 1:3409 EXECUTIVE CENTER DR STE 210
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1641
Mailing Address - Country:US
Mailing Address - Phone:512-913-5899
Mailing Address - Fax:512-472-4708
Practice Address - Street 1:3409 EXECUTIVE CENTER DR STE 210
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1641
Practice Address - Country:US
Practice Address - Phone:512-913-5899
Practice Address - Fax:512-472-4708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle