MEDICARE: MEDICARE COMFORT TRANSPORT 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
1	343900000X	Non-emergency Medical Transport (VAN)
2	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1528889045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICARE COMFORT TRANSPORT LLC

Provider Business Mailing Address
First Line	:	1627 SUMMERFIELD DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-1899
Country	:	US
Telephone Number	:	602-497-7670
Fax Number	:

Provider Business Practice Location Address
First Line	:	1627 SUMMERFIELD DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-1899
Country	:	US
Telephone Number	:	602-497-7670
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ASAD MEHMOOD WATHRA
Credential	:
Telephone Number	:	602-497-7670

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	04/15/2025

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