Healthcare Provider Details

I. General information

NPI: 1184323073
Provider Name (Legal Business Name): DMS NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 MANCHESTER CROSSING DR
FRESNO TX
77545-1526
US

IV. Provider business mailing address

2202 MANCHESTER CROSSING DR
FRESNO TX
77545-1526
US

V. Phone/Fax

Practice location:
  • Phone: 346-419-1152
  • Fax:
Mailing address:
  • Phone: 346-419-1152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number StateNULL

VIII. Authorized Official

Name: TARSHALL SCOTT
Title or Position: OWNER
Credential:
Phone: 346-419-1152