MEDICARE: MY ARMOR SERVICES INC

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	:	1871005207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY ARMOR SERVICES INC

Provider Business Mailing Address
First Line	:	12680 W LAKE HOUSTON PKWY STE 510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6088
Country	:	US
Telephone Number	:	800-341-0919
Fax Number	:	800-341-0919

Provider Business Practice Location Address
First Line	:	515 N SAM HOUSTON PKWY E STE 168
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-4128
Country	:	US
Telephone Number	:	800-341-0919
Fax Number	:	800-341-0919

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MR. LEROY BENNETTE PACE JR.
Credential	:
Telephone Number	:	800-341-0919

Provider Enumeration Date	:	10/25/2017
Last Update Date	:	10/25/2017

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Directions to “MY ARMOR SERVICES INC ” Practice Location

Language	Start Address	Practice Location

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