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NPI Code Detail

MEDICARE: PENSON MEDICAL TRANSPORT

MEDICARE: PENSON MEDICAL TRANSPORT
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
1343800000XSecured Medical Transport (VAN)

General Provider Information

NPI Number : 1407613243
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENSON MEDICAL TRANSPORT
Provider Business Mailing Address
First Line : 6606 RUSK LANDING CT
Second Line :
City : HOUSTON
State : TX
Zip : 77049-3505
Country : US
Telephone Number : 832-683-2112
Fax Number :
Provider Business Practice Location Address
First Line : 6606 RUSK LANDING CT
Second Line :
City : HOUSTON
State : TX
Zip : 77049-3505
Country : US
Telephone Number : 832-683-2112
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RENE PENSON
Credential :
Telephone Number : 832-683-2112
Provider Enumeration Date : 02/28/2024
Last Update Date : 02/28/2024

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Directions to “PENSON MEDICAL TRANSPORT ” Practice Location

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