Organization
BROTHERS MEDICAL TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM BOURAKBA (OWNERS)
(225) 421-1114
Entity
Organization
Contact information
Practice address
1713 WOODDALE BLVD STE 30, BATON ROUGE, LA 70806-1570
(225) 421-1114
Mailing address
1713 WOODDALE BLVD STE 30, BATON ROUGE, LA 70806-1570
(225) 421-1114
(832) 790-2013
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A824445
LA
Other
Enumeration date
03/08/2018
Last updated
08/17/2018
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