Provider Demographics
NPI:1619656188
Name:DOCRIDE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:DOCRIDE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAHOME
Authorized Official - Middle Name:G
Authorized Official - Last Name:TEFERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-259-1422
Mailing Address - Street 1:10401 N LAMAR BLVD APT P101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-3470
Mailing Address - Country:US
Mailing Address - Phone:737-259-1422
Mailing Address - Fax:
Practice Address - Street 1:10401 N LAMAR BLVD APT P101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-3470
Practice Address - Country:US
Practice Address - Phone:737-259-1422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)