Provider Demographics
NPI:1154336972
Name:TEXAS MEDICAL TRANSFER
Entity type:Organization
Organization Name:TEXAS MEDICAL TRANSFER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-438-5253
Mailing Address - Street 1:5315 FM 1960 RD W STE B
Mailing Address - Street 2:SUITE 234
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4410
Mailing Address - Country:US
Mailing Address - Phone:713-680-3606
Mailing Address - Fax:832-201-8973
Practice Address - Street 1:3005 W COMMERCE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3781
Practice Address - Country:US
Practice Address - Phone:210-438-5253
Practice Address - Fax:210-438-0243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8001633416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport