Provider Demographics
NPI:1801180658
Name:DO FOR SELF TRANSPORTATION SERVICES, INC.
Entity Type:Organization
Organization Name:DO FOR SELF TRANSPORTATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:POINDEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-208-9888
Mailing Address - Street 1:2312 SHELBURNE CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-7668
Mailing Address - Country:US
Mailing Address - Phone:214-208-9888
Mailing Address - Fax:972-329-9164
Practice Address - Street 1:2312 SHELBURNE CT
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-7668
Practice Address - Country:US
Practice Address - Phone:214-208-9888
Practice Address - Fax:972-329-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17698031343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)