Provider Demographics
NPI:1679006928
Name:TGM TRANSPORT
Entity Type:Organization
Organization Name:TGM TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYNGI
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-588-1980
Mailing Address - Street 1:30127 LOCKHART ST
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-7410
Mailing Address - Country:US
Mailing Address - Phone:225-788-4541
Mailing Address - Fax:
Practice Address - Street 1:30127 LOCKHART ST
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-7410
Practice Address - Country:US
Practice Address - Phone:225-788-4541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)