Provider Demographics
NPI:1649822016
Name:EXCELLENCE IN SERVICE TRANSPORTATION COMPANY
Entity type:Organization
Organization Name:EXCELLENCE IN SERVICE TRANSPORTATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOLSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:972-965-6010
Mailing Address - Street 1:501 CROWNPOINT LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-4780
Mailing Address - Country:US
Mailing Address - Phone:972-965-6010
Mailing Address - Fax:682-276-1156
Practice Address - Street 1:501 CROWNPOINT LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-4780
Practice Address - Country:US
Practice Address - Phone:972-965-6010
Practice Address - Fax:682-276-1156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle