=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083098719
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | H &M NON-EMERGENCY TRANSPORTATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2015
-----------------------------------------------------
Last Update Date | 07/13/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3236 AUTUMN FOREST DR.
-----------------------------------------------------
City | PEARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77584
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-350-2877
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3236 AUTUMN FOREST DR.
-----------------------------------------------------
City | PEARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77584
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-350-2877
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DRIVER I
-----------------------------------------------------
Name | MR. HOWARD BRYANT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-350-2877
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------