MEDICARE: RONALD NOVIO

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	:	1013304823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD NOVIO

Provider Business Mailing Address
First Line	:	3880 GREENHOUSE RD STE 404
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3486
Country	:	US
Telephone Number	:	281-206-7117
Fax Number	:

Provider Business Practice Location Address
First Line	:	3880 GREENHOUSE RD STE 404
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3486
Country	:	US
Telephone Number	:	281-206-7117
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	04/20/2015

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Directions to “ RONALD NOVIO ” Practice Location

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