Provider Demographics
NPI:1417467531
Name:DOVE TRANSPORT LLC
Entity Type:Organization
Organization Name:DOVE TRANSPORT LLC
Other - Org Name:DOVE TRANSPORT LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ETHELYN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-763-9687
Mailing Address - Street 1:13022 CLEARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-7124
Mailing Address - Country:US
Mailing Address - Phone:214-763-9687
Mailing Address - Fax:972-552-9770
Practice Address - Street 1:13022 CLEARVIEW DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-7124
Practice Address - Country:US
Practice Address - Phone:214-763-9687
Practice Address - Fax:972-552-9770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)