Organization
PATIENT LOGISTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE FITZGERALD WILLIAMS (OWNER)
(713) 998-6162
Entity
Organization
Contact information
Practice address
10015 MAIN ST, HOUSTON, TX 77025-5209
(713) 998-6162
Mailing address
10015 MAIN ST, HOUSTON, TX 77025-5209
(713) 998-6162
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529
PRIVATE INSURANCE
TX
Enumeration date
03/26/2015
Last updated
03/26/2015
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