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NPI Code Detail

MEDICARE: BRAI MEDICAL TRANSPORTATION

MEDICARE: BRAI 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
1343900000XNon-emergency Medical Transport (VAN)801546132TX

General Provider Information

NPI Number : 1356616387
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAI MEDICAL TRANSPORTATION
Provider Business Mailing Address
First Line : 6316 DRYAD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77035-6605
Country : US
Telephone Number : 832-794-6297
Fax Number :
Provider Business Practice Location Address
First Line : 6316 DRYAD DR,
Second Line :
City : HOUSTON
State : TX
Zip : 77035
Country : US
Telephone Number : 832-794-6297
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. JEFFREY IMOAGENE AYONOTE
Credential :
Telephone Number : 832-794-6297
Provider Enumeration Date : 03/08/2012
Last Update Date : 03/08/2012

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Directions to “BRAI MEDICAL TRANSPORTATION ” Practice Location

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