Provider Demographics
NPI:1912760935
Name:ROMAN EMPIRE TRANSPORT
Entity Type:Organization
Organization Name:ROMAN EMPIRE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:MEDRANO
Authorized Official - Suffix:
Authorized Official - Credentials:LLC
Authorized Official - Phone:214-247-7228
Mailing Address - Street 1:307 JOSEPH DR
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3809
Mailing Address - Country:US
Mailing Address - Phone:214-247-7228
Mailing Address - Fax:
Practice Address - Street 1:307 JOSEPH DR
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-3809
Practice Address - Country:US
Practice Address - Phone:214-247-7228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)