Provider Demographics
NPI:1346943024
Name:DEBOSE ENTERPRISES LLC
Entity Type:Organization
Organization Name:DEBOSE ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-243-7194
Mailing Address - Street 1:435 MURPHY RD STE B1
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5420
Mailing Address - Country:US
Mailing Address - Phone:832-243-7194
Mailing Address - Fax:
Practice Address - Street 1:7145 READING RD APT 1211
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-6348
Practice Address - Country:US
Practice Address - Phone:832-242-7194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)