Provider Demographics
NPI:1053837054
Name:LION OF JUDAH TRANSPORTATION, INC
Entity Type:Organization
Organization Name:LION OF JUDAH TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDROS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-449-4382
Mailing Address - Street 1:6919 SANDY KNOLLS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-4822
Mailing Address - Country:US
Mailing Address - Phone:281-449-4382
Mailing Address - Fax:281-667-3116
Practice Address - Street 1:13512 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77039-2726
Practice Address - Country:US
Practice Address - Phone:281-449-4382
Practice Address - Fax:281-667-3116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)