Provider Demographics
NPI:1508571407
Name:TRIPOD CONCEPTS LLC
Entity Type:Organization
Organization Name:TRIPOD CONCEPTS LLC
Other - Org Name:TRIPOD TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:
Authorized Official - Last Name:FAHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-707-7390
Mailing Address - Street 1:111 BRAND LN STE 903
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4801
Mailing Address - Country:US
Mailing Address - Phone:832-707-7390
Mailing Address - Fax:208-248-3482
Practice Address - Street 1:111 BRAND LN STE 903
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4801
Practice Address - Country:US
Practice Address - Phone:832-707-7390
Practice Address - Fax:208-248-3482
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIPOD CONCEPTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-16
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)