Provider Demographics
NPI:1174204689
Name:QUIKLY IMPORT AND EXPORT LLC
Entity type:Organization
Organization Name:QUIKLY IMPORT AND EXPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:MOCH-DANIELS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:214-940-4615
Mailing Address - Street 1:6725 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-7041
Mailing Address - Country:US
Mailing Address - Phone:214-940-4615
Mailing Address - Fax:
Practice Address - Street 1:4500 MERCANTILE PLAZA DR STE 300
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-4206
Practice Address - Country:US
Practice Address - Phone:214-940-4615
Practice Address - Fax:214-940-4615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)