Provider Demographics
NPI:1750980827
Name:SECURE PATIENT DELIVERY OF TEXAS, LLC
Entity type:Organization
Organization Name:SECURE PATIENT DELIVERY OF TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROTEM
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-258-2335
Mailing Address - Street 1:3351 SEVERN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-7408
Mailing Address - Country:US
Mailing Address - Phone:504-258-2335
Mailing Address - Fax:800-787-5854
Practice Address - Street 1:2230 JOE FIELD RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-3325
Practice Address - Country:US
Practice Address - Phone:504-258-2335
Practice Address - Fax:800-787-5854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)