MEDICARE: SEAGROVE MEDICAL TRANSIT

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	:	1194679258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEAGROVE MEDICAL TRANSIT

Provider Business Mailing Address
First Line	:	9208 SEAGROVE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-7228
Country	:	US
Telephone Number	:	678-800-8722
Fax Number	:

Provider Business Practice Location Address
First Line	:	9208 SEAGROVE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-7228
Country	:	US
Telephone Number	:	678-800-8722
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HENRY NWABUEZE
Credential	:
Telephone Number	:	678-800-8722

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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Directions to “SEAGROVE MEDICAL TRANSIT ” Practice Location

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