Provider Demographics
NPI:1104689058
Name:BLOUNT'S MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:BLOUNT'S MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:LYNDELL
Authorized Official - Last Name:BLOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:832-215-0124
Mailing Address - Street 1:5435 CANTERWAY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-1705
Mailing Address - Country:US
Mailing Address - Phone:832-853-2674
Mailing Address - Fax:
Practice Address - Street 1:5435 CANTERWAY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77048-1705
Practice Address - Country:US
Practice Address - Phone:832-853-2674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker