Provider Demographics
NPI:1164107454
Name:SUPERIOR HEALTH TRANSPORT INC
Entity Type:Organization
Organization Name:SUPERIOR HEALTH TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAVONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:945-210-4049
Mailing Address - Street 1:3419 WESTMINSTER AVE # 1033
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1387
Mailing Address - Country:US
Mailing Address - Phone:945-210-4049
Mailing Address - Fax:
Practice Address - Street 1:3419 WESTMINSTER AVE # 1033
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-1387
Practice Address - Country:US
Practice Address - Phone:945-210-4049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)