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General NPI Number Information
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NPI Number | 1730460569
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Entity Type | Organization
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Legal Business Name | MED-PORT MEDICAL TRANSPORTATION SERVICES
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 8787 S GESSNER DR
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City | HOUSTON
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State | TX
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Zip | 77074-2915
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Country | US
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Telephone | 713-777-0200
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Fax | 713-271-7802
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Provider Business Mailing Address
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Address Line | 8787 S GESSNER DR
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City | HOUSTON
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State | TX
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Zip | 77074-2915
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Country | US
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Telephone | 713-777-0200
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Fax | 713-271-7802
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. ROSLYN EYVETTE HICKS
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Credential |
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Telephone | 832-276-2104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | TX
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