Provider Demographics
NPI:1639851694
Name:EXPRESS NEMT
Entity Type:Organization
Organization Name:EXPRESS NEMT
Other - Org Name:EXPRESS TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-332-9124
Mailing Address - Street 1:118 W OAK ST BLDG B
Mailing Address - Street 2:
Mailing Address - City:YANTIS
Mailing Address - State:TX
Mailing Address - Zip Code:75497-2724
Mailing Address - Country:US
Mailing Address - Phone:903-383-2755
Mailing Address - Fax:
Practice Address - Street 1:118 W OAK ST BLDG B
Practice Address - Street 2:
Practice Address - City:YANTIS
Practice Address - State:TX
Practice Address - Zip Code:75497-2724
Practice Address - Country:US
Practice Address - Phone:903-383-2755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)