Healthcare Provider Details

I. General information

NPI: 1366819682
Provider Name (Legal Business Name): OMEGA TRANSPORTATION CO. LL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9705 NOLAN RANCH LOOP
GODLEY TX
76044-4381
US

IV. Provider business mailing address

PO BOX 331092
FT WORTH TX
76163-1092
US

V. Phone/Fax

Practice location:
  • Phone: 682-209-0553
  • Fax:
Mailing address:
  • Phone: 682-209-0553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TAMIR TRANSPORTATION SALEEM
Title or Position: MANAGER
Credential:
Phone: 682-209-0553