Provider Demographics
NPI:1619344678
Name:GUARDIAN HEALTH MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:GUARDIAN HEALTH MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ONYEMAECHI
Authorized Official - Middle Name:JUNIOR
Authorized Official - Last Name:UHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-767-0622
Mailing Address - Street 1:PO BOX 702211
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75370-2211
Mailing Address - Country:US
Mailing Address - Phone:469-767-0622
Mailing Address - Fax:
Practice Address - Street 1:18719 PARK GROVE LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-3973
Practice Address - Country:US
Practice Address - Phone:469-767-0622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)