Provider Demographics
NPI:1285181594
Name:COMFORT CPA CARE LLC
Entity Type:Organization
Organization Name:COMFORT CPA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/INCORPORATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-808-1318
Mailing Address - Street 1:3248 PAMPLONA
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-6859
Mailing Address - Country:US
Mailing Address - Phone:817-808-1318
Mailing Address - Fax:817-539-0915
Practice Address - Street 1:3248 PAMPLONA
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75054-6859
Practice Address - Country:US
Practice Address - Phone:817-808-1318
Practice Address - Fax:817-539-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12572803343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)