Blue Star Medical Transportation LLC
Secured Medical Transport (VAN) in Dallas, TX. Organization (NPI-2).
NPI number1306221635
StatusActive
Last updated in NPPESDec 8, 2022
Details
- NPI
- 1306221635
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Star Medical Transportation LLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2015
- Certification date
- Dec 8, 2022
- Last updated
- Dec 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343800000X | Secured Medical Transport (VAN) | – | – | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
10330 Cimmaron TrlDallas, TX 75243
Phone 469-443-2979
Mailing address
10330 Cimmaron TrlDallas, TX 75243-2520
Phone 469-443-2979
Authorized official
Milla Kidane
Owner
4694432979
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