Healthcare Provider Details

I. General information

NPI: 1972974418
Provider Name (Legal Business Name): 1ST CLASS MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2015
Last Update Date: 10/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 RICHMOND AVE APT 432
HOUSTON TX
77042-4557
US

IV. Provider business mailing address

9901 RICHMOND AVE APT 432
HOUSTON TX
77042-4557
US

V. Phone/Fax

Practice location:
  • Phone: 281-935-9365
  • Fax:
Mailing address:
  • Phone: 281-935-9365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ESTHER ANYAORAH
Title or Position: OWNER
Credential:
Phone: 281-935-9365