MEDICARE: COWBOY CARERIDE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343800000X	Secured Medical Transport (VAN)
2	344600000X	Taxi
3	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1548125321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COWBOY CARERIDE LLC

Provider Business Mailing Address
First Line	:	2021 S COOPER ST APT 3208
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5658
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 S COOPER ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5573
Country	:	US
Telephone Number	:	469-883-2069
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MOHAMUD JAMA
Credential	:
Telephone Number	:	469-883-2069

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	06/01/2026

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Directions to “COWBOY CARERIDE LLC ” Practice Location

Language	Start Address	Practice Location

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