MEDICARE: THRONE ROOM (TRIM)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1003780602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRONE ROOM (TRIM)

Provider Business Mailing Address
First Line	:	4364 WESTERN CENTER BLVD # 2219
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2043
Country	:	US
Telephone Number	:	817-657-1153
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 CABLE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-3323
Country	:	US
Telephone Number	:	817-657-1153
Fax Number	:	817-657-1153

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NEIL WAYNE MORRIS
Credential	:
Telephone Number	:	817-657-1153

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “THRONE ROOM (TRIM) ” Practice Location

Language	Start Address	Practice Location

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