Organization
GREAT WESTERN TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GROGAN (CEO)
(888) 908-0694
Entity
Organization
Contact information
Practice address
6315 FM 1488 RD STE B, #217, MAGNOLIA, TX 77354-2526
(888) 909-0649
Mailing address
6315 FM 1488 RD STE B, #217, MAGNOLIA, TX 77354-2526
(888) 909-0649
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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