1801160148 NPI number — EXTENDED HAND LOGISTICAL TRANSPORTATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801160148 NPI number — EXTENDED HAND LOGISTICAL TRANSPORTATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXTENDED HAND LOGISTICAL TRANSPORTATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801160148
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 361
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KATY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77492-0361
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-437-9477
Provider Business Mailing Address Fax Number:
832-437-9477

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1406 BALDRIDGE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77494-4713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-437-9477
Provider Business Practice Location Address Fax Number:
832-437-9477
Provider Enumeration Date:
03/05/2012

Additional Information

Authorized Official

Authorized Official Last Name:
HARRIS
Authorized Official First Name:
VIRGI
Authorized Official Middle Name:
JAMILA
Authorized Official Title or Position:
DIRECTING MANAGER
Authorized Official Telephone Number:
832-437-9477

Provider Taxonomy Codes

  • Taxonomy code: 347C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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