MEDICARE: TEXAS AREA MEDICAL TRANSPORTATION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	341600000X	Ambulance
2	3416A0800X	Air Ambulance
3	3416L0300X	Land Ambulance
4	3416S0300X	Water Ambulance
5	343800000X	Secured Medical Transport (VAN)
6	344600000X	Taxi
7	347B00000X	Bus
8	347C00000X	Private Vehicle
9	347E00000X	Transportation Broker
10	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1336686070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS AREA MEDICAL TRANSPORTATION, LLC

Provider Business Mailing Address
First Line	:	PO BOX 4235
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77210-4235
Country	:	US
Telephone Number	:	832-660-1605
Fax Number	:

Provider Business Practice Location Address
First Line	:	11524 SPACE CENTER BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3603
Country	:	US
Telephone Number	:	832-660-1605
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RANDY ROMMAN
Credential	:
Telephone Number	:	832-660-1605

Provider Enumeration Date	:	01/19/2017
Last Update Date	:	01/19/2017

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