MEDICARE: MEDCO PRO 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
1	343900000X	Non-emergency Medical Transport (VAN)		TX
2	343900000X	Non-emergency Medical Transport (VAN)		TN

General Provider Information

NPI Number	:	1457874331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDCO PRO TRANSPORT

Provider Business Mailing Address
First Line	:	1507 LOBO MOUNTAIN LN
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-7211
Country	:	US
Telephone Number	:	512-669-2559
Fax Number	:

Provider Business Practice Location Address
First Line	:	1507 LOBO MOUNTAIN LN
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-7211
Country	:	US
Telephone Number	:	512-669-2559
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNT MANAGER
Name	:	HUSSAIN SOLIMAN
Credential	:
Telephone Number	:	512-669-2559

Provider Enumeration Date	:	07/21/2017
Last Update Date	:	07/21/2022

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Directions to “MEDCO PRO TRANSPORT ” Practice Location

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