MEDICARE: AMERICAN NEM TRANSPORTS, 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)		TX

General Provider Information

NPI Number	:	1790089423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN NEM TRANSPORTS, LLC

Provider Business Mailing Address
First Line	:	7520 INDIGO RIDGE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-5106
Country	:	US
Telephone Number	:	817-723-0364
Fax Number	:

Provider Business Practice Location Address
First Line	:	7520 INDIGO RIDGE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-5106
Country	:	US
Telephone Number	:	817-723-0364
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SYED RAFIUDDIN
Credential	:
Telephone Number	:	817-723-0364

Provider Enumeration Date	:	01/10/2011
Last Update Date	:	01/10/2011

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