Provider Demographics
NPI:1831586254
Name:TASTRUG EMS INC.
Entity type:Organization
Organization Name:TASTRUG EMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OKANLAWON
Authorized Official - Middle Name:JAMIU
Authorized Official - Last Name:AKINWONMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-617-6753
Mailing Address - Street 1:9894 BISSONNET ST
Mailing Address - Street 2:SUITE 387
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8239
Mailing Address - Country:US
Mailing Address - Phone:281-617-6753
Mailing Address - Fax:832-203-8703
Practice Address - Street 1:9894 BISSONNET STREET
Practice Address - Street 2:SUITE 387
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:281-617-6753
Practice Address - Fax:832-203-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)