# ADVANCED MEDICAL TRANSPORTATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114196946
- **Authorized official:** DERRICK J WINEY (CEO)
- **Authorized official phone:** (713) 995-7454

## Contact information

- **Practice address:** 8700 COMMERCE PARK DR, STE 218E, HOUSTON, TX 77036-7497
- **Practice address phone:** (713) 995-7454
- **Practice address fax:** (713) 995-7452
- **Mailing address:** 8700 COMMERCE PARK DR, STE 218E, HOUSTON, TX 77036-7497
- **Mailing address phone:** (713) 995-7454
- **Mailing address fax:** (713) 995-7452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000085 | TX | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AMB934 | BCBS OF TEXAS | TX |