Provider Demographics
NPI:1053954347
Name:DOC TRANSPORTATION LLC
Entity type:Organization
Organization Name:DOC TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:WEZAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:TEFERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-904-6851
Mailing Address - Street 1:8602 CINNAMON CREEK DR APT 1103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1465
Mailing Address - Country:US
Mailing Address - Phone:210-904-6851
Mailing Address - Fax:
Practice Address - Street 1:8602 CINNAMON CREEK DR APT 1103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1465
Practice Address - Country:US
Practice Address - Phone:210-904-6851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-20
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)