Provider Demographics
NPI:1922359538
Name:BAYOU CITY CONSULTANTS
Entity Type:Organization
Organization Name:BAYOU CITY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANTECA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-499-2448
Mailing Address - Street 1:2656 S. LOOP WEST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:832-499-2448
Mailing Address - Fax:281-407-6202
Practice Address - Street 1:2656 S LOOP W
Practice Address - Street 2:SUITE 215
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2664
Practice Address - Country:US
Practice Address - Phone:832-499-2448
Practice Address - Fax:281-407-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)