Organization
PAVILLION MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMESGHEN ARAYA (MANAGER)
(480) 781-7652
Entity
Organization
Contact information
Practice address
5300 THE STATION BLVD APT 2114, SACHSE, TX 75048-3988
(480) 781-7652
Mailing address
5300 THE STATION BLVD APT 2114, 2114, SACHSE, TX 75048-3988
(480) 781-7652
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/18/2026
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