MEDICARE: PREFERRED ENTERPRISE

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)	32047251932	TX

General Provider Information

NPI Number	:	1184060527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED ENTERPRISE

Provider Business Mailing Address
First Line	:	1855 BARKER CYPRESS RD
Second Line	:	STE 140
City	:	HOUSTON
State	:	TX
Zip	:	77084-7209
Country	:	US
Telephone Number	:	281-579-3244
Fax Number	:	281-579-3365

Provider Business Practice Location Address
First Line	:	1855 BARKER CYPRESS RD
Second Line	:	STE 140
City	:	HOUSTON
State	:	TX
Zip	:	77084-7209
Country	:	US
Telephone Number	:	281-579-3244
Fax Number	:	281-579-3365

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA NGWABA
Credential	:
Telephone Number	:	281-579-3244

Provider Enumeration Date	:	05/13/2013
Last Update Date	:	05/13/2013

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Directions to “PREFERRED ENTERPRISE ” Practice Location

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