Provider Demographics
NPI:1770951675
Name:TRUCARE TRANSPORTATION, LLC
Entity type:Organization
Organization Name:TRUCARE TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:CUMBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-771-1554
Mailing Address - Street 1:10039 BISSONNET ST
Mailing Address - Street 2:SUITE 312A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7854
Mailing Address - Country:US
Mailing Address - Phone:713-771-1554
Mailing Address - Fax:713-771-1559
Practice Address - Street 1:10039 BISSONNET ST
Practice Address - Street 2:SUITE 312A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7854
Practice Address - Country:US
Practice Address - Phone:713-771-1554
Practice Address - Fax:713-771-1559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07151717343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)