Healthcare Provider Details

I. General information

NPI: 1154083590
Provider Name (Legal Business Name): SPHINX MEDICAL TRANSPORTATION , INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4193 NACO PERRIN BLVD
SAN ANTONIO TX
78217
US

IV. Provider business mailing address

4193 NACO PERRIN BLVD
SAN ANTONIO TX
78217
US

V. Phone/Fax

Practice location:
  • Phone: 210-517-7605
  • Fax: 361-239-5090
Mailing address:
  • Phone: 210-517-7605
  • Fax: 361-239-5090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ELSAYED TAHER ABDELFATTAH
Title or Position: OWNER
Credential:
Phone: 210-517-7605