Organization
MIRACLE MEDICAL TRANSPORT LLC
Active
Organization
MIRACLE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAH IBRAHIM (OWNER)
(510) 761-6686
Entity
Organization
Contact information
Practice address
3030 DUNVALE RD APT 9205, HOUSTON, TX 77063-4482
(510) 761-6686
Mailing address
3030 DUNVALE RD APT 9205, HOUSTON, TX 77063-4482
(510) 761-6686
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
11/15/2022
Last updated
01/29/2023
Update your record
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