MEDICARE: ROWM LLC

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)

General Provider Information

NPI Number	:	1447918495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROWM LLC

Provider Business Mailing Address
First Line	:	2660 LAKE POINT DR APT 1614
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-0620
Country	:	US
Telephone Number	:	682-444-0133
Fax Number	:

Provider Business Practice Location Address
First Line	:	2660 LAKE POINT DR APT 1614
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-0620
Country	:	US
Telephone Number	:	682-444-0133
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OMER BASHIR
Credential	:
Telephone Number	:	682-444-0133

Provider Enumeration Date	:	12/07/2021
Last Update Date	:	12/07/2021

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Directions to “ROWM LLC ” Practice Location

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