MEDICARE: MUSA LOGISTICS INC,

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	:	1558849265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSA LOGISTICS INC,

Provider Business Mailing Address
First Line	:	2008 WALNUT HILLS LN
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5032
Country	:	US
Telephone Number	:	817-983-4700
Fax Number	:	682-422-3105

Provider Business Practice Location Address
First Line	:	2008 WALNUT HILLS LN
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5032
Country	:	US
Telephone Number	:	817-983-4700
Fax Number	:	682-422-3105

Authorized Official
Title or Position	:	CEO
Name	:	UBBAD GHANI
Credential	:	PRESIDENT
Telephone Number	:	817-609-1593

Provider Enumeration Date	:	08/03/2018
Last Update Date	:	08/03/2018

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