Provider Demographics
NPI:1447001441
Name:DEREG INVESTMENTS LLC
Entity type:Organization
Organization Name:DEREG INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEBAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-239-9663
Mailing Address - Street 1:1706 ANNA CREEK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2404
Mailing Address - Country:US
Mailing Address - Phone:346-239-9663
Mailing Address - Fax:425-966-2460
Practice Address - Street 1:1706 ANNA CREEK DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-2404
Practice Address - Country:US
Practice Address - Phone:346-239-9663
Practice Address - Fax:425-966-2460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)