Provider Demographics
NPI:1619678877
Name:RJ RELIABLE TRANSPORTATION
Entity Type:Organization
Organization Name:RJ RELIABLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:NON MEDICAL PROVIDER
Authorized Official - Phone:945-536-1257
Mailing Address - Street 1:PO BOX 167384
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75016-7384
Mailing Address - Country:US
Mailing Address - Phone:945-536-1257
Mailing Address - Fax:
Practice Address - Street 1:1826 MORGAN ST
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6917
Practice Address - Country:US
Practice Address - Phone:945-536-1257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker