Provider Demographics
NPI:1932407178
Name:SPECIALTY CARE TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:SPECIALTY CARE TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAND
Authorized Official - Middle Name:LATOURA
Authorized Official - Last Name:BALQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-788-3981
Mailing Address - Street 1:3916 COTT ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-3115
Mailing Address - Country:US
Mailing Address - Phone:512-788-3981
Mailing Address - Fax:512-428-8046
Practice Address - Street 1:3916 COTT ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-3115
Practice Address - Country:US
Practice Address - Phone:512-788-3981
Practice Address - Fax:512-428-8046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-12
Last Update Date:2011-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport