Provider Demographics
NPI:1447911607
Name:ABC PRIORITY CARE TRANSPORT LLC
Entity type:Organization
Organization Name:ABC PRIORITY CARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGED CARE CREDENTIALING SPECIALI
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:H
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-629-0314
Mailing Address - Street 1:100 E. NASA PARKWAY #311
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598
Mailing Address - Country:US
Mailing Address - Phone:877-550-4448
Mailing Address - Fax:877-471-4177
Practice Address - Street 1:100 E. NASA PARKWAY #311
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:877-550-4448
Practice Address - Fax:877-471-4177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-09
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date: