Provider Demographics
NPI:1558720227
Name:AUZENNE TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:AUZENNE TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLEVELAND
Authorized Official - Middle Name:M
Authorized Official - Last Name:AUZENNE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:337-852-7296
Mailing Address - Street 1:2790 WAGGONER AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71108-3824
Mailing Address - Country:US
Mailing Address - Phone:337-852-7296
Mailing Address - Fax:
Practice Address - Street 1:2790 WAGGONER AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71108-3824
Practice Address - Country:US
Practice Address - Phone:337-852-7296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA007387640343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)