Provider Demographics
NPI:1912226135
Name:EXPRESS TRUCKING
Entity Type:Organization
Organization Name:EXPRESS TRUCKING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATOSHA
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-905-1567
Mailing Address - Street 1:4830 WILSON RD
Mailing Address - Street 2:300 120
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-1971
Mailing Address - Country:US
Mailing Address - Phone:281-227-0088
Mailing Address - Fax:888-828-1004
Practice Address - Street 1:5015 ALDINE BENDER RD
Practice Address - Street 2:7104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-4232
Practice Address - Country:US
Practice Address - Phone:281-227-0088
Practice Address - Fax:888-828-1004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)