MEDICARE: PICK UP AND RIDE TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)
2	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1396422556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PICK UP AND RIDE TRANSPORTATION

Provider Business Mailing Address
First Line	:	1515 HUNTERWOOD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75253-4829
Country	:	US
Telephone Number	:	972-816-0561
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 HUNTERWOOD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75253-4829
Country	:	US
Telephone Number	:	972-816-0561
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. STEPHANIE Y MAYS
Credential	:
Telephone Number	:	972-302-5019

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	07/13/2023

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Directions to “PICK UP AND RIDE TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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