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East Texas Priority Medical Transportation LLC

Private Vehicle in Tyler, TX. Organization (NPI-2).

NPI number1154253383
StatusActive
Last updated in NPPESJun 25, 2026

Details

NPI
1154253383
Entity type
Organization (NPI-2)
Legal business name
East Texas Priority Medical Transportation LLC
Organization subpart
No
Enumeration date
Jun 1, 2026
Certification date
Jun 25, 2026
Last updated
Jun 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
347C00000X Private Vehicle––Yes
343900000X Non-emergency Medical Transport (VAN)––

Practice location

662 Princess Pl
Tyler, TX 75704-6665

Phone 430-344-2072

Mailing address

Po Box 6201
Tyler, TX 75711-6201

Phone 430-344-2072

Authorized official

Alvin J Jones
Owner
4303442072

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