Provider Demographics
NPI:1366189748
Name:WHC ATX, LLC
Entity type:Organization
Organization Name:WHC ATX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALICZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-988-3437
Mailing Address - Street 1:10630 JOSEPH CLAYTON DR BLDG A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-3215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10630 JOSEPH CLAYTON DR BLDG A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-3215
Practice Address - Country:US
Practice Address - Phone:512-434-7720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHC WORLDWIDE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)