Provider Demographics
NPI:1346611282
Name:WINGATE AND LAWRENCE LLC
Entity Type:Organization
Organization Name:WINGATE AND LAWRENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAFRICA
Authorized Official - Middle Name:SHANTA
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-212-6491
Mailing Address - Street 1:6401 BINGLE RD STE 122
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-1329
Mailing Address - Country:US
Mailing Address - Phone:832-582-8860
Mailing Address - Fax:
Practice Address - Street 1:6401 BINGLE RD STE 122
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-1329
Practice Address - Country:US
Practice Address - Phone:832-582-8860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)