Provider Demographics
NPI:1568915437
Name:HOOD PONY EXPRESS
Entity Type:Organization
Organization Name:HOOD PONY EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:TASHUND
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:281-788-5329
Mailing Address - Street 1:33219 E BORDER OAK CT
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6109
Mailing Address - Country:US
Mailing Address - Phone:281-788-5329
Mailing Address - Fax:281-252-0294
Practice Address - Street 1:33219 E BORDER OAK CT
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-6109
Practice Address - Country:US
Practice Address - Phone:281-788-5329
Practice Address - Fax:281-252-0294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)