Provider Demographics
NPI:1942960299
Name:TEXAS LEGACY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:TEXAS LEGACY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:NAEEM
Authorized Official - Last Name:ABDULNABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-772-9358
Mailing Address - Street 1:1439 WOODMONT DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1839
Mailing Address - Country:US
Mailing Address - Phone:512-772-9358
Mailing Address - Fax:
Practice Address - Street 1:1439 WOODMONT DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-1839
Practice Address - Country:US
Practice Address - Phone:512-772-9358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi