MEDICARE: SMITH SIGNATURE TRUCKING

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	342000000X	Transportation Network Company
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1942077011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH SIGNATURE TRUCKING

Provider Business Mailing Address
First Line	:	5970 N SAM HOUSTON PKWY E STE 505
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-3258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5970 N SAM HOUSTON PKWY E STE 505
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-3258
Country	:	US
Telephone Number	:	832-299-0433
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ALNER SMITH
Credential	:
Telephone Number	:	832-299-0433

Provider Enumeration Date	:	12/07/2023
Last Update Date	:	12/29/2023

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Directions to “SMITH SIGNATURE TRUCKING ” Practice Location

Language	Start Address	Practice Location

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