Provider Demographics
NPI:1508611633
Name:PHAUG LLC
Entity Type:Organization
Organization Name:PHAUG LLC
Other - Org Name:PHAUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HARNEET
Authorized Official - Middle Name:K
Authorized Official - Last Name:GHUMMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-244-5844
Mailing Address - Street 1:30 MAN O WAR LN
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1228
Mailing Address - Country:US
Mailing Address - Phone:214-244-5844
Mailing Address - Fax:
Practice Address - Street 1:30 MAN O WAR LN
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:TX
Practice Address - Zip Code:75069-1228
Practice Address - Country:US
Practice Address - Phone:214-244-5844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)