MEDICARE: SMIT CO

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)

General Provider Information

NPI Number	:	1902450638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMIT CO

Provider Business Mailing Address
First Line	:	7000 FONVILLA ST APT 3503
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-6065
Country	:	US
Telephone Number	:	832-382-5791
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 FONVILLA ST APT 3503
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-6065
Country	:	US
Telephone Number	:	832-382-5791
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIE LAURE KALAMBA
Credential	:
Telephone Number	:	832-382-5791

Provider Enumeration Date	:	07/31/2019
Last Update Date	:	07/31/2019

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Directions to “SMIT CO ” Practice Location

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