Provider Demographics
NPI:1023469517
Name:ON TIME TRANSIT LLC
Entity type:Organization
Organization Name:ON TIME TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSOGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-805-5373
Mailing Address - Street 1:777 S CENTRAL EXPY
Mailing Address - Street 2:# 7 A
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-7411
Mailing Address - Country:US
Mailing Address - Phone:817-805-5373
Mailing Address - Fax:
Practice Address - Street 1:1214 VARACRUZ DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-3536
Practice Address - Country:US
Practice Address - Phone:817-805-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-25
Last Update Date:2016-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX802347169343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)