IndividualActive
Van Small
NPI 1255038436 · Transportation Network Company · Reserve, LA
Provider details
- NPI number
- 1255038436
- Entity type
- Individual
- Primary specialty
- Transportation Network CompanyTransportation Services
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Transportation Services
Practice location
322 Terrio Dr
Reserve, LA 70084-6515
Phone: (504) 559-4725
Approximate (ZIP-level) locationGet directions
Mailing address
322 Terrio Dr
Reserve, LA 70084-6515
Registry dates
- Enumerated
- 2023-02-08
- Last updated
- 2023-02-08
- Certified
- 2022-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.