=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720998990
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KBR MOBILITY SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2026
-----------------------------------------------------
Last Update Date | 09/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3413 FOUNTAIN VIEW DR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77057-6605
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-413-8403
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3525 SAGE RD APT 1503
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77056-7026
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-380-9896
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | KHAMAAL BARRETT RICKS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 240-380-9896
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------