Provider Demographics
NPI:1942594551
Name:TEXAS TRANSPORT SERVICE
Entity type:Organization
Organization Name:TEXAS TRANSPORT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:G
Authorized Official - Last Name:URANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-208-4655
Mailing Address - Street 1:126 S DIXIE BLVD
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-5501
Mailing Address - Country:US
Mailing Address - Phone:432-208-4655
Mailing Address - Fax:432-335-8097
Practice Address - Street 1:126 S DIXIE BLVD
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5501
Practice Address - Country:US
Practice Address - Phone:432-208-4655
Practice Address - Fax:432-335-8097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance