Provider Demographics
NPI:1003635715
Name:AK ELITE TRANSPORT
Entity type:Organization
Organization Name:AK ELITE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:ERSKINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-298-7543
Mailing Address - Street 1:811 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3147
Mailing Address - Country:US
Mailing Address - Phone:214-298-7543
Mailing Address - Fax:
Practice Address - Street 1:811 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3147
Practice Address - Country:US
Practice Address - Phone:214-298-7543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)