Provider Demographics
NPI:1720700578
Name:PRAZPAV VENTURES LLC
Entity Type:Organization
Organization Name:PRAZPAV VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEWOLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-866-0741
Mailing Address - Street 1:8815 EARLY MORNING WAY
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-1881
Mailing Address - Country:US
Mailing Address - Phone:832-866-0741
Mailing Address - Fax:281-595-7782
Practice Address - Street 1:8815 EARLY MORNING WAY
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-1881
Practice Address - Country:US
Practice Address - Phone:832-866-0741
Practice Address - Fax:282-595-7782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-16
Last Update Date:2022-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)