Provider Demographics
NPI:1699564518
Name:CROWN MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:CROWN MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PRECIOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEANAKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-286-8455
Mailing Address - Street 1:2442 S COLLINS ST STE 108
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-1247
Mailing Address - Country:US
Mailing Address - Phone:817-286-8455
Mailing Address - Fax:
Practice Address - Street 1:8153 TRUDY LANE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76120
Practice Address - Country:US
Practice Address - Phone:817-286-8455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)