Provider Demographics
NPI:1689352650
Name:DWAY TRANSPORTATION
Entity Type:Organization
Organization Name:DWAY TRANSPORTATION
Other - Org Name:MATRIARCH CONSULTING SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-916-4299
Mailing Address - Street 1:17119 RED OAK DR UNIT 90333
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2600
Mailing Address - Country:US
Mailing Address - Phone:832-916-4299
Mailing Address - Fax:800-261-1482
Practice Address - Street 1:397 N SAM HOUSTON PKWY E STE 475K
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-2442
Practice Address - Country:US
Practice Address - Phone:832-916-4299
Practice Address - Fax:800-261-1482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)