Provider Demographics
NPI:1235852807
Name:TPAZ NEMT LLC
Entity Type:Organization
Organization Name:TPAZ NEMT LLC
Other - Org Name:TPAZ NEMT LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TYKIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:PAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-500-2061
Mailing Address - Street 1:4200 W 34TH ST APT 40
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-6862
Mailing Address - Country:US
Mailing Address - Phone:858-500-2061
Mailing Address - Fax:
Practice Address - Street 1:4200 W 34TH ST APT 40
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6862
Practice Address - Country:US
Practice Address - Phone:858-500-2061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TPAZ MANGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-20
Last Update Date:2022-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)