Provider Demographics
NPI:1922487255
Name:DRIVERNATOR TRANSPORTATION SEVICES
Entity Type:Organization
Organization Name:DRIVERNATOR TRANSPORTATION SEVICES
Other - Org Name:QUALITY TRANSPORTATION BY JORDAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLTON
Authorized Official - Middle Name:B
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-239-5781
Mailing Address - Street 1:13619 WOODSPIRE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-1319
Mailing Address - Country:US
Mailing Address - Phone:713-239-5781
Mailing Address - Fax:
Practice Address - Street 1:13619 WOODSPIRE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-1319
Practice Address - Country:US
Practice Address - Phone:713-239-5781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347C00000X347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle