Provider Demographics
NPI:1568833267
Name:THAMAU TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:THAMAU TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:UMUHIRE
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-714-9879
Mailing Address - Street 1:250 E HIGHWAY 67
Mailing Address - Street 2:3105
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-4429
Mailing Address - Country:US
Mailing Address - Phone:817-714-9879
Mailing Address - Fax:
Practice Address - Street 1:250 E HIGHWAY 67
Practice Address - Street 2:3105
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-4429
Practice Address - Country:US
Practice Address - Phone:817-714-9879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0801245652343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)