Provider Demographics
NPI:1750198941
Name:THIERRY'S MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:THIERRY'S MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:THIERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-281-0155
Mailing Address - Street 1:1238 EDITH ST
Mailing Address - Street 2:347 GILBERT DR
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570
Mailing Address - Country:US
Mailing Address - Phone:337-284-0155
Mailing Address - Fax:626-227-2307
Practice Address - Street 1:1238 EDITH ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570
Practice Address - Country:US
Practice Address - Phone:337-284-0155
Practice Address - Fax:626-227-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)