Provider Demographics
NPI:1346588613
Name:LONE STAR EXECUTIVE LIMOUSINE, LLC
Entity Type:Organization
Organization Name:LONE STAR EXECUTIVE LIMOUSINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-585-7338
Mailing Address - Street 1:PO BOX 7036
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-7036
Mailing Address - Country:US
Mailing Address - Phone:832-585-7338
Mailing Address - Fax:832-730-1897
Practice Address - Street 1:1 FINANCIAL PLZ
Practice Address - Street 2:SUITE 425
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-3513
Practice Address - Country:US
Practice Address - Phone:832-585-7338
Practice Address - Fax:832-730-1897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus