Provider Demographics
NPI: | 1225485469 |
---|---|
Name: | LINDZ TRANSPORT |
Entity type: | Organization |
Organization Name: | LINDZ TRANSPORT |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DREYFUS |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LINDSEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 832-720-0881 |
Mailing Address - Street 1: | 350 VISTACOURT DR |
Mailing Address - Street 2: | 2306 |
Mailing Address - City: | PLANO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75074 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 832-720-0881 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 350 VISTACOURT DR |
Practice Address - Street 2: | 2306 |
Practice Address - City: | PLANO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75074 |
Practice Address - Country: | US |
Practice Address - Phone: | 832-720-0881 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-05-18 |
Last Update Date: | 2022-07-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 343900000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | ========= | Medicaid |