Provider Demographics
NPI:1407528441
Name:TEXAS NEIGHBORS MEDICCAB LLC
Entity Type:Organization
Organization Name:TEXAS NEIGHBORS MEDICCAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-404-6190
Mailing Address - Street 1:3208 STILLWATER LN
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1383
Mailing Address - Country:US
Mailing Address - Phone:800-980-4934
Mailing Address - Fax:
Practice Address - Street 1:3208 STILLWATER LN
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-1383
Practice Address - Country:US
Practice Address - Phone:800-980-4934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)