Provider Demographics
NPI:1265264618
Name:TRANSPORTATION BY TATI
Entity type:Organization
Organization Name:TRANSPORTATION BY TATI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-716-2866
Mailing Address - Street 1:1132 WALCH LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:78947-9751
Mailing Address - Country:US
Mailing Address - Phone:979-716-2866
Mailing Address - Fax:
Practice Address - Street 1:1132 WALCH LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TX
Practice Address - Zip Code:78947-9751
Practice Address - Country:US
Practice Address - Phone:979-716-2866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)