Provider Demographics
NPI:1689217457
Name:GEAUX TRANS TRANSPORTATION
Entity Type:Organization
Organization Name:GEAUX TRANS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QWANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REITZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-512-1955
Mailing Address - Street 1:3101 QUAIL COURT APT A
Mailing Address - Street 2:
Mailing Address - City:ALEXANADRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301
Mailing Address - Country:US
Mailing Address - Phone:318-512-1955
Mailing Address - Fax:
Practice Address - Street 1:3101 QUAIL COURT APT A
Practice Address - Street 2:
Practice Address - City:ALEXANADRIA
Practice Address - State:LA
Practice Address - Zip Code:71301
Practice Address - Country:US
Practice Address - Phone:318-512-1955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)