Organization
MONTGOMERY MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR KHAUKHA (OPERATIONS MANAGER)
(816) 319-8091
Entity
Organization
Contact information
Practice address
372 MALLORN LN, MONTGOMERY, TX 77316-3224
(816) 319-8091
Mailing address
372 MALLORN LN, MONTGOMERY, TX 77316-3224
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/08/2023
Last updated
12/15/2023
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