Provider Demographics
NPI:1043092497
Name:EBAA TRANSPORT AND HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:EBAA TRANSPORT AND HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NASRELDIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-868-2304
Mailing Address - Street 1:5418 PLANTATION FOREST DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6444
Mailing Address - Country:US
Mailing Address - Phone:515-868-2304
Mailing Address - Fax:
Practice Address - Street 1:5418 PLANTATION FOREST DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6444
Practice Address - Country:US
Practice Address - Phone:515-868-2304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)