Provider Demographics
NPI:1679302889
Name:TRANS/TXSA
Entity type:Organization
Organization Name:TRANS/TXSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:O
Authorized Official - Last Name:PONCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-285-9817
Mailing Address - Street 1:3515 N EJIDO AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-1258
Mailing Address - Country:US
Mailing Address - Phone:956-285-9817
Mailing Address - Fax:956-265-3471
Practice Address - Street 1:3515 N EJIDO AVE APT 303
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-1258
Practice Address - Country:US
Practice Address - Phone:956-285-9817
Practice Address - Fax:956-265-3471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)