Organization · NPI-2
Legacy Reliable Transportation LLC
Secured Medical Transport (VAN) · Conroe, TX
NPI number1104646892
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1104646892
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Reliable Transportation LLC
- Organization subpart
- No
- Enumeration date
- Oct 16, 2024
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343800000X | Secured Medical Transport (VAN) | – | – | Yes |
Practice location
9430 Elliotts CtConroe, TX 77304-7203
Phone 346-351-5432
Mailing address
9430 Elliotts CtConroe, TX 77304-7203
Phone 346-351-5432
Authorized official
Claudia Yamileth Flores
Manager
3463515432
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