Healthcare Provider Details

I. General information

NPI: 1750317483
Provider Name (Legal Business Name): PRIORITY CARE MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 EAST RAILROAD AVE
VIDOR TX
77662-4915
US

IV. Provider business mailing address

740 S ROCHESTER STE E
ONTARIO CA
91761-8179
US

V. Phone/Fax

Practice location:
  • Phone: 800-600-3320
  • Fax: 800-600-2502
Mailing address:
  • Phone: 800-600-2501
  • Fax: 800-600-2502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number800156
License Number StateTX

VIII. Authorized Official

Name: MR. JAMES NICHOLAS KARRAS
Title or Position: EXECUTIVE VICE PRESIDENT & SECRETAR
Credential:
Phone: 800-600-2501