Organization
MED-TRANSPORT A&E
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFIYFA THOMPSON (MANAGER)
(346) 801-0401
Entity
Organization
Contact information
Practice address
10700 FONDREN RD APT 224, HOUSTON, TX 77096-5688
(713) 331-4328
Mailing address
10700 FONDREN RD APT 224, HOUSTON, TX 77096-5688
(713) 331-4328
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17879792
—
TX
Enumeration date
06/01/2021
Last updated
06/14/2021
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