MEDICARE: D E V EXPRESS

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	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1760173439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D E V EXPRESS

Provider Business Mailing Address
First Line	:	9535 FOREST LN STE 119
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6120
Country	:	US
Telephone Number	:	214-586-4169
Fax Number	:

Provider Business Practice Location Address
First Line	:	9535 FOREST LN STE 119
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6120
Country	:	US
Telephone Number	:	214-586-4169
Fax Number	:

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	ROSA RAMIREZ
Credential	:
Telephone Number	:	214-586-4169

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	05/15/2023

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Directions to “D E V EXPRESS ” Practice Location

Language	Start Address	Practice Location

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