Provider Demographics
NPI:1902542400
Name:G NEVELS TRANSPORTS LLC
Entity Type:Organization
Organization Name:G NEVELS TRANSPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-691-5722
Mailing Address - Street 1:701 N OATS ST APT 313
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-5722
Mailing Address - Country:US
Mailing Address - Phone:903-691-5722
Mailing Address - Fax:
Practice Address - Street 1:105 SKYLARK DR
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0043
Practice Address - Country:US
Practice Address - Phone:903-691-5722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-07
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle