Healthcare Provider Details

I. General information

NPI: 1275963183
Provider Name (Legal Business Name): METRO DELIVERY AND TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 11/14/2013
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
HOUSTON TX
77057-5922
US

V. Phone/Fax

Practice location:
  • Phone: 281-501-0622
  • Fax: 281-501-0620
Mailing address:
  • Phone: 281-501-0622
  • Fax: 281-501-0620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. CORNELIUS ALBERT KING
Title or Position: MANGER
Credential:
Phone: 281-501-0622