Organization
COMCARE MEDICAL TRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASTOUR MOHAMED (CEO)
(602) 410-6335
Entity
Organization
Contact information
Practice address
750 W BASELINE RD APT 1014, TEMPE, AZ 85283-5909
(602) 410-6335
Mailing address
750 W BASELINE RD APT 1014, TEMPE, AZ 85283-5909
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511395
AHCCCS
AZ
Enumeration date
06/04/2010
Last updated
06/04/2010
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