Provider Demographics
NPI:1730636416
Name:DOROTHY'S HALO NON-EMERGENCY TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:DOROTHY'S HALO NON-EMERGENCY TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:LAVERNE
Authorized Official - Last Name:MCCOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-934-4256
Mailing Address - Street 1:9700 FM 1097 RD WEST
Mailing Address - Street 2:APT #1003
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318
Mailing Address - Country:US
Mailing Address - Phone:832-934-4256
Mailing Address - Fax:
Practice Address - Street 1:9700 FM 1097 RD WEST
Practice Address - Street 2:APT #1003
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318
Practice Address - Country:US
Practice Address - Phone:832-934-4256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)