Provider Demographics
NPI:1235825928
Name:BLAZIN' SPEEDS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:BLAZIN' SPEEDS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHOEBE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-449-9441
Mailing Address - Street 1:13202 INDIANAPOLIS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-3619
Mailing Address - Country:US
Mailing Address - Phone:713-449-9441
Mailing Address - Fax:
Practice Address - Street 1:13202 INDIANAPOLIS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-3619
Practice Address - Country:US
Practice Address - Phone:713-449-9441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)