Healthcare Provider Details

I. General information

NPI: 1912499914
Provider Name (Legal Business Name): MORGAN TRANSPORT SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2018
Last Update Date: 09/19/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7635 MESQUITE FARM SAN ANTONIO TEXAS
SAN ANTONIO TX
78239-7823
US

IV. Provider business mailing address

7635 MESQUITE FARM
SAN ANTONIO TX
78239-3262
US

V. Phone/Fax

Practice location:
  • Phone: 210-725-5760
  • Fax:
Mailing address:
  • Phone: 210-725-5760
  • Fax: 434-352-9269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number360
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: RHONDALYN MORGAN
Title or Position: OWNER
Credential:
Phone: 210-725-5760