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NPI Code Detail

MEDICARE: BANTAN MOBILITY LLC

MEDICARE: BANTAN MOBILITY LLC
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)

General Provider Information

NPI Number : 1427993351
Entity Type Code : Organization
Provider Name (Legal Business Name) : BANTAN MOBILITY LLC
Provider Business Mailing Address
First Line : 23050 MORTON RANCH RD APT 3221
Second Line :
City : KATY
State : TX
Zip : 77449-7293
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23050 MORTON RANCH RD APT 3221
Second Line :
City : KATY
State : TX
Zip : 77449-7293
Country : US
Telephone Number : 760-818-2093
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ABDOURAMANE BARRY
Credential :
Telephone Number : 760-818-2093
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “BANTAN MOBILITY LLC ” Practice Location

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