Provider Demographics
NPI:1164030524
Name:QUICK SAFE TRANSPORTATION
Entity type:Organization
Organization Name:QUICK SAFE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATCHETT - BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-827-5917
Mailing Address - Street 1:1315 MARDI LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1315 MARDI LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6426
Practice Address - Country:US
Practice Address - Phone:832-915-0946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)