MEDICARE: CREATIVE TRANSPORT

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	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1649104480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATIVE TRANSPORT

Provider Business Mailing Address
First Line	:	12042 PINE SANDHILL TRL
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-4716
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12042 PINE SANDHILL TRL
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-4716
Country	:	US
Telephone Number	:	832-457-9777
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DOMINIQUE GILFORD
Credential	:
Telephone Number	:	832-457-9774

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “CREATIVE TRANSPORT ” Practice Location

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