Provider Demographics
NPI:1003107988
Name:YOUR WAY MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:YOUR WAY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNIE
Authorized Official - Middle Name:DESHON
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:832-661-6141
Mailing Address - Street 1:1501 HICKORYBEND CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581
Mailing Address - Country:US
Mailing Address - Phone:832-661-6141
Mailing Address - Fax:
Practice Address - Street 1:1501 HICKORY BEND CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-1627
Practice Address - Country:US
Practice Address - Phone:832-661-6141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801404949343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)