17 Media Group LLC
Organization Active NPI Transportation Broker · Killeen, TX
NPI 1073077129 · NPPES record last updated Jan 30, 2019
Key facts
- NPI
- 1073077129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Transportation Broker 347E00000X
- Legal business name
- 17 MEDIA GROUP LLC
- Practice address
- 2403 W Stan Schlueter Loop Unit 690398
Killeen, TX 76549-0217 - Phone
- (870) 278-3275
- NPI assigned
- Jan 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Ricky Wilson
- Title
- Owner
- Phone
- (870) 278-3275
National Provider Directory
Locations
2403 W Stan Schlueter Loop
Unit 690398
Killeen, TX 76549
Phone (870) 278-3275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Yes |
Addresses
Primary practice location
2403 W Stan Schlueter Loop Unit 690398
Killeen, TX 76549-0217
Mailing address
2403 W Stan Schlueter Loop Unit 690398
Killeen, TX 76549-0217
Phone (870) 278-3275
Other names
- INFINITY TRANSPORT
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All providers in Killeen, TX · Transportation Broker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.