=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366819682
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OMEGA TRANSPORTATION CO. LL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2015
-----------------------------------------------------
Last Update Date | 10/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9705 NOLAN RANCH LOOP
-----------------------------------------------------
City | GODLEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76044-4381
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 682-209-0553
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 331092
-----------------------------------------------------
City | FT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76163-1092
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 682-209-0553
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | TAMIR TRANSPORTATION SALEEM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 682-209-0553
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------