Provider Demographics
NPI:1902281462
Name:LARRY BETTS JR
Entity Type:Organization
Organization Name:LARRY BETTS JR
Other - Org Name:LT TRANSPORTATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BETTS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:214-458-1817
Mailing Address - Street 1:12836 PARKERSBURG DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12836 PARKERSBURG DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-5816
Practice Address - Country:US
Practice Address - Phone:214-458-1817
Practice Address - Fax:817-562-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)