Provider Demographics
NPI:1174058903
Name:ALL WHEELS TRANSPORTATION
Entity type:Organization
Organization Name:ALL WHEELS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-334-8631
Mailing Address - Street 1:1745 PALO ALTO DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-1373
Mailing Address - Country:US
Mailing Address - Phone:214-334-8631
Mailing Address - Fax:214-279-0501
Practice Address - Street 1:6500 NORTHWEST DR STE 160
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6870
Practice Address - Country:US
Practice Address - Phone:214-334-8631
Practice Address - Fax:214-279-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-30
Last Update Date:2017-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07645162343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)