MEDICARE: PREFERRED NATIONAL MEDICAL TRANSPORT

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	3416L0300X	Land Ambulance		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245266519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED NATIONAL MEDICAL TRANSPORT

Provider Business Mailing Address
First Line	:	4731 BURCLARE CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4555
Country	:	US
Telephone Number	:	713-791-9000
Fax Number	:	713-222-0504

Provider Business Practice Location Address
First Line	:	7535 SOUTH FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-5928
Country	:	US
Telephone Number	:	713-791-9000
Fax Number	:	713-222-0504

Authorized Official
Title or Position	:	OWNER
Name	:	IBRAHIM FARHOUD
Credential	:
Telephone Number	:	713-791-9000

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	12/08/2019

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Directions to “PREFERRED NATIONAL MEDICAL TRANSPORT ” Practice Location

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