Provider Demographics
NPI:1700342755
Name:ON-TIME TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ON-TIME TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TEZENO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:337-418-5334
Mailing Address - Street 1:271 DAISY LN
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-6733
Mailing Address - Country:US
Mailing Address - Phone:337-418-5334
Mailing Address - Fax:337-942-9220
Practice Address - Street 1:271 DAISY LN
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6733
Practice Address - Country:US
Practice Address - Phone:337-418-5334
Practice Address - Fax:337-942-9220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)