Provider Demographics
NPI:1235830688
Name:TANERI MEDS TRANS LLC
Entity Type:Organization
Organization Name:TANERI MEDS TRANS LLC
Other - Org Name:TANERI MEDS TRANS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALAWI
Authorized Official - Middle Name:
Authorized Official - Last Name:BIZIMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-286-7767
Mailing Address - Street 1:7230 BROOKPORT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-3514
Mailing Address - Country:US
Mailing Address - Phone:210-286-7767
Mailing Address - Fax:
Practice Address - Street 1:7230 BROOKPORT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-3514
Practice Address - Country:US
Practice Address - Phone:210-286-7767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)