MEDICARE: ABB CARE TRANSPORT INC.

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)

General Provider Information

NPI Number	:	1427594233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABB CARE TRANSPORT INC.

Provider Business Mailing Address
First Line	:	5800 TERRA DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4216
Country	:	US
Telephone Number	:	817-504-5149
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 E MITCHELL ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-3149
Country	:	US
Telephone Number	:	817-504-5149
Fax Number	:

Authorized Official
Title or Position	:	PRESEDINT / CEO
Name	:	MR. AMIN AWAD ABBASHER
Credential	:
Telephone Number	:	817-323-9353

Provider Enumeration Date	:	01/18/2017
Last Update Date	:	01/18/2017

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