=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780293670
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAM MEDICAL TRANSPORTATION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2020
-----------------------------------------------------
Last Update Date | 08/17/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3011 FRESCO WELLS DR
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77449-4616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-804-1463
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3011 FRESCO WELLS DR
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77449-4616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-804-1463
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NONE MEDICAL EMERGENCY PROVIDER OWN
-----------------------------------------------------
Name | NOUR BARBARAWI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-804-1463
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------