Provider Demographics
NPI:1821668500
Name:YOUNIVERSAL TRANSPORTATION OF TEXAS, LLC
Entity Type:Organization
Organization Name:YOUNIVERSAL TRANSPORTATION OF TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZANTA
Authorized Official - Middle Name:LEBRA
Authorized Official - Last Name:STROUD-SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-956-1997
Mailing Address - Street 1:5019 AZALEA MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3154
Mailing Address - Country:US
Mailing Address - Phone:713-444-0998
Mailing Address - Fax:
Practice Address - Street 1:5019 AZALEA MEADOW LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3154
Practice Address - Country:US
Practice Address - Phone:713-444-0998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)