Healthcare Provider Details

I. General information

NPI: 1841696150
Provider Name (Legal Business Name): METRO TRANSPORT & DELIVERY, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 12/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 RICHMOND AVE STE 577
HOUSTON TX
77057-5922
US

IV. Provider business mailing address

6420 RICHMOND AVE STE 577 1800 NE LOOP 410 STE 211 SAN ANTONIO, TX 78217
HOUSTON TX
77057-5922
US

V. Phone/Fax

Practice location:
  • Phone: 281-827-9824
  • Fax: 866-784-1258
Mailing address:
  • Phone: 281-827-9824
  • Fax: 866-784-1258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CORNELIUS KING
Title or Position: CEO/OWNER
Credential:
Phone: 281-501-0622