Provider Demographics
NPI:1649590761
Name:PEACE OF MIND TRANSPORT
Entity Type:Organization
Organization Name:PEACE OF MIND TRANSPORT
Other - Org Name:PEACE OF MIND TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNA
Authorized Official - Middle Name:D
Authorized Official - Last Name:EARLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-804-7504
Mailing Address - Street 1:PO BOX 376
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-0376
Mailing Address - Country:US
Mailing Address - Phone:281-804-7504
Mailing Address - Fax:281-466-4430
Practice Address - Street 1:5326 W BELLFORT ST STE 112
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-3031
Practice Address - Country:US
Practice Address - Phone:281-804-7504
Practice Address - Fax:281-466-4430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01291094343800000X, 343900000X, 347C00000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle