MEDICARE: QUALITY MED TRANSPORT LLC

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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1285311704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY MED TRANSPORT LLC

Provider Business Mailing Address
First Line	:	5501 JACKSBORO HWY STE 606
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76114-1662
Country	:	US
Telephone Number	:	214-587-5763
Fax Number	:	817-420-6444

Provider Business Practice Location Address
First Line	:	5501 JACKSBORO HWY STE 606
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76114-1662
Country	:	US
Telephone Number	:	214-587-5763
Fax Number	:	817-420-6444

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JACQUES KUBALUKA
Credential	:
Telephone Number	:	214-587-5763

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	06/28/2023

Similar Medicare Providers

1417633777 — MR. JACQUES KUBALUKA
Practice Location Address:

5501 JACKSBORO HWY STE 606
FORT WORTH, TX
76114-1662

Practice Phone: 214-587-5763
Practice Fax:

1093805921 — CHARMAINE JOHNSON-LEONG, DDS, PA
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 1
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-566-7479
Practice Fax: 954-565-0450

1972654275 — DR. DAVID MICHAEL FAWCETT PHD, LCSW
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 2
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-776-3639
Practice Fax: 954-776-3639

1760524847 — MATEO J MARTINEZ PT
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 5
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-630-3131
Practice Fax:

1740315878 — PULASKI MEMORIAL HOSPITAL
Practice Location Address:

5700 WILKIE DRIVE
FORT WAYNE, IN
46804-1662

Practice Phone: 260-432-7556
Practice Fax: 260-436-0386

1245444843 — SOUTH FLORIDA CENTER FOR COUNSELING AND THERAPY
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 2
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-776-3639
Practice Fax:

Directions to “QUALITY MED TRANSPORT LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.