Provider Demographics
NPI:1164120457
Name:LYFT MY KIDS AND FAMILY TRANSPORTATION
Entity Type:Organization
Organization Name:LYFT MY KIDS AND FAMILY TRANSPORTATION
Other - Org Name:LYFT MY KIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNNELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-421-2734
Mailing Address - Street 1:7603 MILLCHASE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-4467
Mailing Address - Country:US
Mailing Address - Phone:210-421-2734
Mailing Address - Fax:
Practice Address - Street 1:7603 MILLCHASE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-4467
Practice Address - Country:US
Practice Address - Phone:210-421-2734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)