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Organization

PRODIGY MEDRIDE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COREY LYNDELL BLOUNT JR. (MANAGING MEMBER)
(832) 215-0124
Entity
Organization

Contact information

Practice address
4715 HIGH POINT LN, HOUSTON, TX 77053-1213
(832) 215-0124
Mailing address
4715 HIGH POINT LN, HOUSTON, TX 77053-1213
(832) 215-0124

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
05/30/2026
Last updated
05/30/2026
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