MEDICARE: LAND-AIR MEDICAL TRANSPORT, INC

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	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1932466562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAND-AIR MEDICAL TRANSPORT, INC

Provider Business Mailing Address
First Line	:	6420 RICHMOND AVE STE 340
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5929
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6420 RICHMOND AVE STE 340
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5929
Country	:	US
Telephone Number	:	713-706-3000
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	TERRILYN WHISTLER
Credential	:
Telephone Number	:	713-706-3000

Provider Enumeration Date	:	04/20/2012
Last Update Date	:	10/24/2021

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