Healthcare Provider Details

I. General information

NPI: 1295536787
Provider Name (Legal Business Name): SALUTE MED TRANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 E I65 SERVICE RD N
MOBILE AL
36607-2501
US

IV. Provider business mailing address

5415 LOST LN
SAN ANTONIO TX
78238-2754
US

V. Phone/Fax

Practice location:
  • Phone: 210-333-7433
  • Fax:
Mailing address:
  • Phone: 210-552-0410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MARWAN OMAR ABDELRAHMAN ELDALIE
Title or Position: GM
Credential:
Phone: 210-552-0410