MEDICARE: MOVING BY FAITH MEDICAL TRANSPORTATION

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	:	1861128118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVING BY FAITH MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	3707 CYPRESS CREEK PKWY STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3562
Country	:	US
Telephone Number	:	832-576-9089
Fax Number	:

Provider Business Practice Location Address
First Line	:	3707 CYPRESS CREEK PKWY STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3562
Country	:	US
Telephone Number	:	832-576-9089
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MONIQUE EVERY
Credential	:
Telephone Number	:	832-576-9089

Provider Enumeration Date	:	07/28/2022
Last Update Date	:	10/03/2022

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Directions to “MOVING BY FAITH MEDICAL TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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