Provider Demographics
NPI:1083077705
Name:PRECIOUS PAGES OF LIFE
Entity Type:Organization
Organization Name:PRECIOUS PAGES OF LIFE
Other - Org Name:JW MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDGE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITFIELD
Authorized Official - Suffix:V
Authorized Official - Credentials:
Authorized Official - Phone:214-402-3011
Mailing Address - Street 1:1117 LEXINGTON LN
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-3765
Mailing Address - Country:US
Mailing Address - Phone:214-402-3011
Mailing Address - Fax:214-269-5968
Practice Address - Street 1:1117 LEXINGTON LN
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3765
Practice Address - Country:US
Practice Address - Phone:214-402-3011
Practice Address - Fax:214-269-5968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11742831343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)