Provider Demographics
NPI:1144520545
Name:SANDRA DANIELS
Entity type:Organization
Organization Name:SANDRA DANIELS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-245-2978
Mailing Address - Street 1:202 W DALLAS ST
Mailing Address - Street 2:
Mailing Address - City:HUTCHINS
Mailing Address - State:TX
Mailing Address - Zip Code:75141-3021
Mailing Address - Country:US
Mailing Address - Phone:469-245-2978
Mailing Address - Fax:214-722-1827
Practice Address - Street 1:202 W DALLAS ST
Practice Address - Street 2:
Practice Address - City:HUTCHINS
Practice Address - State:TX
Practice Address - Zip Code:75141-3021
Practice Address - Country:US
Practice Address - Phone:469-245-2978
Practice Address - Fax:214-722-1827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004603416L0300X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport