MEDICARE: INTEGRITY CARGO TRANSPORTATION SERVICES

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)	13619267	TX

General Provider Information

NPI Number	:	1770759607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY CARGO TRANSPORTATION SERVICES

Provider Business Mailing Address
First Line	:	17002 LOCUST SPRINGS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-5509
Country	:	US
Telephone Number	:	832-352-1620
Fax Number	:	281-861-6244

Provider Business Practice Location Address
First Line	:	17002 LOCUST SPRINGS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-5509
Country	:	US
Telephone Number	:	832-352-1620
Fax Number	:	281-861-6244

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MR. KEITH S SIMPSON
Credential	:
Telephone Number	:	832-352-1620

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	04/30/2008

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