Provider Demographics
NPI:1083504427
Name:CREATIVE TRANSPORT
Entity type:Organization
Organization Name:CREATIVE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-457-9774
Mailing Address - Street 1:12042 PINE SANDHILL TRL
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4716
Mailing Address - Country:US
Mailing Address - Phone:832-457-9774
Mailing Address - Fax:
Practice Address - Street 1:12042 PINE SANDHILL TRL
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-4716
Practice Address - Country:US
Practice Address - Phone:832-457-9774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CREATIVE STARTS CHILDCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)