MEDICARE: A2M MEDICAL TRANSPORTATION , 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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881358117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A2M MEDICAL TRANSPORTATION , LLC

Provider Business Mailing Address
First Line	:	14222 KIMBERLEY LN APT 487
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-4812
Country	:	US
Telephone Number	:	281-219-5335
Fax Number	:

Provider Business Practice Location Address
First Line	:	14222 KIMBERLEY LN APT 487
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-4812
Country	:	US
Telephone Number	:	281-219-5335
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMMAR ALI HUSSEIN
Credential	:
Telephone Number	:	281-219-5335

Provider Enumeration Date	:	10/22/2021
Last Update Date	:	01/30/2022

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