MEDICARE: ADAPTIVE MEDICAL SERVICES

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	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1386884799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAPTIVE MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	11606 IDLEBROOK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2841
Country	:	US
Telephone Number	:	281-370-8144
Fax Number	:	832-201-8480

Provider Business Practice Location Address
First Line	:	11606 IDLEBROOK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2841
Country	:	US
Telephone Number	:	281-370-8144
Fax Number	:	832-201-8480

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KARINA KJOL
Credential	:
Telephone Number	:	281-370-8144

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	02/25/2009

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Directions to “ADAPTIVE MEDICAL SERVICES ” Practice Location

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