MEDICARE: ELITE MEDICAL TRANSPORTATION

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	:	1285200386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	7519 PAINTER WAY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7519 PAINTER WAY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4017
Country	:	US
Telephone Number	:	210-762-2690
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KARIM ESSAM ELASSKARY
Credential	:
Telephone Number	:	210-762-2690

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	05/28/2021

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Directions to “ELITE MEDICAL TRANSPORTATION ” Practice Location

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