Granbury Executive Transport, LLC
Non-emergency Medical Transport (VAN) in Granbury, TX. Organization (NPI-2).
NPI number1629924915
StatusActive
Last updated in NPPESAug 7, 2026
Details
- NPI
- 1629924915
- Entity type
- Organization (NPI-2)
- Legal business name
- Granbury Executive Transport, LLC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2026
- Certification date
- Aug 7, 2026
- Last updated
- Aug 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
| 343800000X | Secured Medical Transport (VAN) | – | – |
Practice location
1410 Fall Creek Hwy # 103Granbury, TX 76049-7949
Phone 817-502-9831
Mailing address
1410 Fall Creek Hwy # 103Granbury, TX 76049-7949
Phone 817-502-9831
Authorized official
Adam Clark
Chief Operating Officer
8175029831
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