Provider Demographics
NPI:1679215123
Name:STEPHANIE S TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:STEPHANIE S TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-505-3301
Mailing Address - Street 1:8740 WESTHEIMER RD APT 47
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4236
Mailing Address - Country:US
Mailing Address - Phone:713-505-3301
Mailing Address - Fax:
Practice Address - Street 1:8740 WESTHEIMER RD APT 47
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4236
Practice Address - Country:US
Practice Address - Phone:713-505-3301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000000000OtherN/A