MEDICARE: WE CARE 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)	29ZCX3	TX

General Provider Information

NPI Number	:	1285928762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE CARE MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	17211 FOXFIELD DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-6143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17211 FOXFIELD DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-6143
Country	:	US
Telephone Number	:	713-429-7315
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEXTER L GOODSON
Credential	:
Telephone Number	:	713-429-7315

Provider Enumeration Date	:	06/02/2011
Last Update Date	:	06/02/2011

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