MEDICARE: TEXAS MOBILE MD SOLUTIONS, 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	:	1770250409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS MOBILE MD SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	4801 WOODWAY DR STE 265W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-1892
Country	:	US
Telephone Number	:	281-713-6550
Fax Number	:	281-596-7287

Provider Business Practice Location Address
First Line	:	4801 WOODWAY DR STE 265W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-1892
Country	:	US
Telephone Number	:	281-713-6550
Fax Number	:	281-596-7287

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	JUSTIN MURREL MEDLEY
Credential	:
Telephone Number	:	281-713-6550

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	02/22/2024

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