Organization
ENTERPRISE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KHADEM (PRESIDENT)
(210) 669-8294
Entity
Organization
Contact information
Practice address
513 PASEO CANADA ST, SAN ANTONIO, TX 78232-1112
(210) 599-9999
(210) 599-1152
Mailing address
513 PASEO CANADA ST, SAN ANTONIO, TX 78232-1112
(210) 599-9999
(210) 599-1152
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343800000X
—
TX
Enumeration date
05/04/2015
Last updated
05/04/2015
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