Organization
HOME BASE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GIBSON (OWNER)
(972) 571-9273
Entity
Organization
Contact information
Practice address
617 N EBRITE ST, MESQUITE, TX 75149-3453
(972) 571-9273
Mailing address
617 N EBRITE ST, MESQUITE, TX 75149-3453
(972) 571-9273
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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