Organization
MR. TAXI ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONZO(TONY) E. PASS (OWNER/MEMBER)
(662) 687-1451
Entity
Organization
Contact information
Practice address
5331 RAYMOND AVE., VERONA, MS 38879
(662) 810-7122
(662) 810-7123
Mailing address
PO BOX 1146, VERONA, MS 38879-1146
(662) 810-7122
(662) 810-7123
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
800540268
MS
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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