Organization
MIMITOM TRANSPORTATION LLC
Active
Other names
MIMITOM TRANSPORTATION LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MULUKEN BIRKENEH (MANAGER)
(512) 762-0792
Entity
Organization
Contact information
Practice address
1400 LITTLE ELM TRL UNIT 1307, CEDAR PARK, TX 78613-2864
(512) 762-0792
Mailing address
1400 LITTLE ELM TRL UNIT 1307, CEDAR PARK, TX 78613-2864
(512) 762-0792
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/06/2023
Last updated
11/29/2023
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