Provider Demographics
NPI:1952074783
Name:METROPLEX SENIOR TRANSPORTATION LLC
Entity Type:Organization
Organization Name:METROPLEX SENIOR TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:NATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-482-1026
Mailing Address - Street 1:1920 W TARRANT RD APT 71G
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-3048
Mailing Address - Country:US
Mailing Address - Phone:972-482-1026
Mailing Address - Fax:
Practice Address - Street 1:1920 W TARRANT RD APT 71G
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-3048
Practice Address - Country:US
Practice Address - Phone:972-482-1026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date: