Provider Demographics
NPI:1508245861
Name:ESTIOKO TRANSPORT SERVICES, LLC
Entity Type:Organization
Organization Name:ESTIOKO TRANSPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MALOLITA
Authorized Official - Middle Name:SALVACION
Authorized Official - Last Name:ESTIOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-244-2531
Mailing Address - Street 1:1186 FOREST BLUFF TRL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-3913
Mailing Address - Country:US
Mailing Address - Phone:512-248-9133
Mailing Address - Fax:
Practice Address - Street 1:1186 FOREST BLUFF TRL
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3913
Practice Address - Country:US
Practice Address - Phone:512-248-9133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle