Provider Demographics
NPI:1437645645
Name:PREFERRED HEALTHCARE GROUP LLC
Entity Type:Organization
Organization Name:PREFERRED HEALTHCARE GROUP LLC
Other - Org Name:TRINITY MED-EX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TYRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-771-4200
Mailing Address - Street 1:5959 WESTHEIMER RD STE 425
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7699
Mailing Address - Country:US
Mailing Address - Phone:713-360-7773
Mailing Address - Fax:713-360-7774
Practice Address - Street 1:8710 STOWE CREEK LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6176
Practice Address - Country:US
Practice Address - Phone:281-771-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY MED-EX
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-11
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)