Provider Demographics
NPI:1295465334
Name:IXCHEL TRANSPORT LLC
Entity Type:Organization
Organization Name:IXCHEL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:LIZETTE
Authorized Official - Last Name:SAUCEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-872-0010
Mailing Address - Street 1:300 E RIO GRANDE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-6088
Mailing Address - Country:US
Mailing Address - Phone:830-872-0010
Mailing Address - Fax:
Practice Address - Street 1:300 E RIO GRANDE ST STE 3
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6088
Practice Address - Country:US
Practice Address - Phone:830-872-0010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)