OrganizationActive
Granbury Executive Transport, LLC
NPI 1629924915 · Non-emergency Medical Transport (VAN) · Granbury, TX
Provider details
- NPI number
- 1629924915
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Adam Clark, Chief Operating Officer(817) 502-9831
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1410 Fall Creek Hwy # 103
Granbury, TX 76049-7949
Phone: (817) 502-9831
Street-level locationGet directions
Mailing address
1410 Fall Creek Hwy # 103
Granbury, TX 76049-7949
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.