Provider Demographics
NPI:1043634751
Name:AUTHORBELLY MOTORS
Entity type:Organization
Organization Name:AUTHORBELLY MOTORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORDINATOR/MD
Authorized Official - Prefix:
Authorized Official - First Name:MOORE
Authorized Official - Middle Name:MOSES
Authorized Official - Last Name:CHUKWUEMEKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-427-2555
Mailing Address - Street 1:314 WHEELHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5826
Mailing Address - Country:US
Mailing Address - Phone:713-427-2555
Mailing Address - Fax:281-677-4240
Practice Address - Street 1:314 WHEELHOUSE CT
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:713-427-2555
Practice Address - Fax:281-677-4240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-17
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXB508636343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)