Organization · NPI-2

Advance Mobility Transportation

Secured Medical Transport (VAN) · Katy, TX

NPI number1124586110
StatusActive
Last updated in NPPESMar 23, 2022

Details

NPI
1124586110
Entity type
Organization (NPI-2)
Legal business name
Advance Mobility Transportation
Organization subpart
No
Enumeration date
Mar 8, 2019
Certification date
Mar 11, 2022
Last updated
Mar 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343800000X Secured Medical Transport (VAN)––Yes
343900000X Non-emergency Medical Transport (VAN)––

Practice location

19811 Lindenfield Pl
Katy, TX 77449-6696

Phone 281-717-8940 · Fax 281-717-8940

Mailing address

19811 Lindenfield Pl
Katy, TX 77449-6696

Phone 281-717-8045 · Fax 281-769-1232

Authorized official

Dwight Birch
Manager
2817178940

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