Provider Demographics
NPI:1265811905
Name:PRIMA GROUP LLC
Entity type:Organization
Organization Name:PRIMA GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOKE
Authorized Official - Middle Name:O
Authorized Official - Last Name:OGUNDIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-248-2832
Mailing Address - Street 1:16303 LAZY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-4654
Mailing Address - Country:US
Mailing Address - Phone:832-248-2832
Mailing Address - Fax:281-416-1613
Practice Address - Street 1:16303 LAZY RIDGE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-4654
Practice Address - Country:US
Practice Address - Phone:832-248-2832
Practice Address - Fax:281-416-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)