Provider Demographics
NPI:1750909081
Name:WIGFALL TRANSPORTATION LLC
Entity type:Organization
Organization Name:WIGFALL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MORROW
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGFALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-261-7372
Mailing Address - Street 1:1508 E BELT LINE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-6378
Mailing Address - Country:US
Mailing Address - Phone:214-225-6191
Mailing Address - Fax:214-308-9695
Practice Address - Street 1:1508 E BELT LINE RD STE 205
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-6378
Practice Address - Country:US
Practice Address - Phone:214-225-6191
Practice Address - Fax:214-308-9695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle