MEDICARE: GMM 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	343800000X	Secured Medical Transport (VAN)	07725456	TX

General Provider Information

NPI Number	:	1821474511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GMM TRANSPORTATION

Provider Business Mailing Address
First Line	:	8206 LETTIE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77075-4722
Country	:	US
Telephone Number	:	281-222-5832
Fax Number	:

Provider Business Practice Location Address
First Line	:	6720 BELLFORT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-6412
Country	:	US
Telephone Number	:	713-643-0433
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GARRY CHARLES MALONE
Credential	:
Telephone Number	:	281-222-5832

Provider Enumeration Date	:	08/04/2015
Last Update Date	:	09/02/2015

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Directions to “GMM TRANSPORTATION ” Practice Location

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