Organization
EXPRESS MEDICA TRANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANAS AWADALLA ELAZRAG (OWNER)
(520) 419-2055
Entity
Organization
Contact information
Practice address
3393 N SAND CREEK CT, TUCSON, AZ 85745-7125
(520) 419-2055
(520) 295-2404
Mailing address
3393 N SAND CREEK CT, TUCSON, AZ 85745-7125
(520) 419-2055
(520) 295-2404
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L15668672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504385
—
AZ
Enumeration date
09/11/2015
Last updated
09/11/2015
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