MEDICARE: ASSISTED TRANSPORT 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1487414926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSISTED TRANSPORT SERVICES

Provider Business Mailing Address
First Line	:	5114 FOUNTAIN HL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-1364
Country	:	US
Telephone Number	:	956-755-9799
Fax Number	:

Provider Business Practice Location Address
First Line	:	5114 FOUNTAIN HL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-1364
Country	:	US
Telephone Number	:	956-755-9799
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEONARDO TORRES
Credential	:
Telephone Number	:	956-755-9799

Provider Enumeration Date	:	03/21/2024
Last Update Date	:	03/28/2024

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Directions to “ASSISTED TRANSPORT SERVICES ” Practice Location

Language	Start Address	Practice Location

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