Organization
LAKESHORE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUBACARR SAMATEH (OWNER)
(503) 267-8905
Entity
Organization
Contact information
Practice address
12808 W AIRPORT BLVD STE 325C, SUGAR LAND, TX 77478-6227
(713) 364-6848
Mailing address
12808 W AIRPORT BLVD STE 325C, SUGAR LAND, TX 77478-6227
(713) 364-6848
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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