Organization
SOUTHSIDE MEDICAL TRANSPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELORES MAXINE JACKSON (OWNER)
(713) 991-5518
Entity
Organization
Contact information
Practice address
6829 ALMEDA GENOA RD, HOUSTON, TX 77075-2803
(713) 991-5518
(713) 991-5357
Mailing address
6829 ALMEDA GENOA RD, HOUSTON, TX 77075-2803
(713) 991-5518
(713) 991-5357
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S09JXJ
TX
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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