MEDICARE: CROWNFIT LOGISTICS

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)

General Provider Information

NPI Number	:	1780494260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROWNFIT LOGISTICS

Provider Business Mailing Address
First Line	:	8439 NEWPORT MANOR TRCE
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3966
Country	:	US
Telephone Number	:	346-219-4875
Fax Number	:

Provider Business Practice Location Address
First Line	:	8439 NEWPORT MANOR TRCE
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3966
Country	:	US
Telephone Number	:	346-219-4875
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ABIOLA ADEBOWALE
Credential	:
Telephone Number	:	346-219-4875

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	01/14/2025

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