# NATIVE STAR MED TRANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Native star med trans llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821790858
- **Authorized official:** MARIA IBRAHIM (OWNER)
- **Authorized official phone:** (602) 760-9102

## Contact information

- **Practice address:** 4640 W ALICE AVE, GLENDALE, AZ 85302-5248
- **Practice address phone:** (602) 760-9102
- **Mailing address:** 4640 W ALICE AVE, GLENDALE, AZ 85302-5248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2023
- **Last updated:** 03/21/2023