Provider Demographics
NPI:1154060119
Name:MOBILITATION & TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:MOBILITATION & TRANSPORTATION SERVICES LLC
Other - Org Name:MOBILITATION & TRANSPORTATION SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-666-1344
Mailing Address - Street 1:6804 N CAPITAL OF TEXAS HWY APT 412
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1768
Mailing Address - Country:US
Mailing Address - Phone:321-666-1344
Mailing Address - Fax:
Practice Address - Street 1:6804 N CAPITAL OF TEXAS HWY APT 412
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1768
Practice Address - Country:US
Practice Address - Phone:321-666-1344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-28
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX342000000XOtherTRANSPORTATION NETWORK COMPANY