Organization
MEDITRANS XPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAJUANA GIVENS (OWNER)
(219) 359-0796
Entity
Organization
Contact information
Practice address
7301 TRIMBLE DR, FORT WORTH, TX 76134-4639
(188) 001-1789
Mailing address
7301 TRIMBLE DR, FORT WORTH, TX 76134-4639
(918) 800-1178
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
10/02/2023
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