Provider Demographics
NPI:1629540414
Name:SEVEN STAR TRANSPORT LLC
Entity Type:Organization
Organization Name:SEVEN STAR TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALE
Authorized Official - Middle Name:
Authorized Official - Last Name:AJIBOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-842-9311
Mailing Address - Street 1:1114 WEATHERED ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6642
Mailing Address - Country:US
Mailing Address - Phone:214-842-9311
Mailing Address - Fax:
Practice Address - Street 1:1208 CALIFORNIA LN STE 104
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2425
Practice Address - Country:US
Practice Address - Phone:214-609-7910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)