Provider Demographics
NPI:1013630748
Name:GLOBAL VISION AUTO LLC
Entity Type:Organization
Organization Name:GLOBAL VISION AUTO LLC
Other - Org Name:GLOBAL VISION AUTO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUSEGUN
Authorized Official - Middle Name:KEHINDE
Authorized Official - Last Name:FADAIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-235-7676
Mailing Address - Street 1:3015 MISSION GATE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-4445
Mailing Address - Country:US
Mailing Address - Phone:832-235-7676
Mailing Address - Fax:
Practice Address - Street 1:3015 MISSION GATE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-4445
Practice Address - Country:US
Practice Address - Phone:832-235-7676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)