Provider Demographics
NPI:1679990907
Name:AEX EXPRESS, LLC
Entity Type:Organization
Organization Name:AEX EXPRESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ISSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-623-2050
Mailing Address - Street 1:PO BOX 14525
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-4525
Mailing Address - Country:US
Mailing Address - Phone:318-305-2023
Mailing Address - Fax:
Practice Address - Street 1:119 WOODLAKE DR
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-4762
Practice Address - Country:US
Practice Address - Phone:318-305-2023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)