MEDICARE: NEMT MALEXIS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1223D0001X	Public Health Dentistry
2	1835P2201X	Ambulatory Care Pharmacist
3	224P00000X	Prosthetist
4	281P00000X	Chronic Disease Hospital
5	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1669112025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEMT MALEXIS LLC

Provider Business Mailing Address
First Line	:	7455 AVALON TRCE
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4487
Country	:	US
Telephone Number	:	713-391-5035
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 BISSONNET ST STE 460E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-3914
Country	:	US
Telephone Number	:	713-391-5035
Fax Number	:

Authorized Official
Title or Position	:	SUPERVISOR
Name	:	NAOMIN MBIANGO YAWELI
Credential	:
Telephone Number	:	713-391-5035

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	01/24/2023

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Directions to “NEMT MALEXIS LLC ” Practice Location

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