Bonsai Logistics LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

18434390 Issued in TX

Legal business name

BONSAI LOGISTICS LLC

Practice address

2451 Pamplona LN
League City, TX 77573-1585

Phone

(281) 407-1305

Fax

(281) 407-1305

NPI assigned

Apr 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olugbemiga Adetayo Oyegoke

Title

Owner

Phone

(281) 407-1305

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1104213263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 TX-146",
            "address_2": "P.O. BOX 1403",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775651403",
            "telephone_number": "281-407-1305",
            "fax_number": "713-583-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 PAMPLONA LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731585",
            "telephone_number": "281-407-1305",
            "fax_number": "281-407-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSAI LOGISTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "OYEGOKE",
        "authorized_official_first_name": "OLUGBEMIGA",
        "authorized_official_middle_name": "ADETAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-407-1305"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "18434390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Wellmeyer Bohlmann
• Hillary Jane Testa Bolton, MS, BCBA, LBA
• Rana Suzette Bonds, MD
• David Boniface
• Derek C Bonn, NP
• Kai Borgstrom, D.C., C.C.S.P.
• Krislyn Boswell
• Melissa Ann Botard, FNP-C
• Gideon Petrus Botha, LPC, LMFT
• Marion B Bourgeois, LMT

• Non-emergency Medical Transport (VAN) in League City, TX
• Providers in League City, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.