Provider Demographics
NPI:1932951449
Name:DAYSTARS MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:DAYSTARS MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANTERIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ONYEMEM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:346-754-3490
Mailing Address - Street 1:4611 S MAIN ST STE 8
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4731
Mailing Address - Country:US
Mailing Address - Phone:346-754-3490
Mailing Address - Fax:888-251-0385
Practice Address - Street 1:4611 S MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4731
Practice Address - Country:US
Practice Address - Phone:346-754-3490
Practice Address - Fax:888-251-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)