Provider Demographics
NPI:1679130181
Name:MADISON KEY TRANSPORTATION
Entity type:Organization
Organization Name:MADISON KEY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RAKEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-320-5865
Mailing Address - Street 1:3530 GREEN CREST DR APT 531
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-4170
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3530 GREEN CREST DR APT 531
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-4170
Practice Address - Country:US
Practice Address - Phone:504-320-5865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle