Organization
BLUE STAR MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MILLA KIDANE (OWNER)
(469) 443-2979
Entity
Organization
Contact information
Practice address
10330 CIMMARON TRL, DALLAS, TX 75243
(469) 443-2979
Mailing address
10330 CIMMARON TRL, DALLAS, TX 75243-2520
(469) 443-2979
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/28/2015
Last updated
12/08/2022
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