Provider Demographics
NPI:1326427634
Name:ANGELS ON THE GO LLC
Entity Type:Organization
Organization Name:ANGELS ON THE GO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-443-7131
Mailing Address - Street 1:15010 FM 2100 RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-8100
Mailing Address - Country:US
Mailing Address - Phone:281-328-1800
Mailing Address - Fax:281-328-3030
Practice Address - Street 1:15010 FM 2100 RD STE 102
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-8100
Practice Address - Country:US
Practice Address - Phone:281-328-1800
Practice Address - Fax:281-328-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)