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Hephzibah-Beulah LLC

Non-emergency Medical Transport (VAN) in Conroe, TX. Organization (NPI-2).

NPI number1144162405
StatusActive
Last updated in NPPESApr 7, 2026

Details

NPI
1144162405
Entity type
Organization (NPI-2)
Legal business name
Hephzibah-Beulah LLC
Organization subpart
No
Enumeration date
Apr 7, 2026
Certification date
Apr 7, 2026
Last updated
Apr 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes
343800000X Secured Medical Transport (VAN)––

Practice location

14249 Lake Lodge Dr
Conroe, TX 77384-1539

Phone 940-231-6643 · Fax 940-231-6643

Mailing address

14249 Lake Lodge Dr
Conroe, TX 77384-1539

Phone 940-231-6643 · Fax 940-231-6643

Authorized official

Oluwatayo Gabriel Odeyemi
Manager
9402316643

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