Provider Demographics
NPI:1497535348
Name:ADEQUATE ANGELS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ADEQUATE ANGELS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-803-5045
Mailing Address - Street 1:1860 E NORTHSIDE DR APT 2225
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76106-8426
Mailing Address - Country:US
Mailing Address - Phone:817-803-5045
Mailing Address - Fax:817-549-5376
Practice Address - Street 1:4455 CAMP BOWIE BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-3864
Practice Address - Country:US
Practice Address - Phone:817-803-5045
Practice Address - Fax:817-549-5376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)