Provider Demographics
NPI:1194607226
Name:PRIMECARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:PRIMECARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:KAMAL
Authorized Official - Last Name:NOUNOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-639-9139
Mailing Address - Street 1:5900 BALCONES DR STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4298
Mailing Address - Country:US
Mailing Address - Phone:571-639-9139
Mailing Address - Fax:
Practice Address - Street 1:5050 FM 423 APT 9302
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-7167
Practice Address - Country:US
Practice Address - Phone:571-639-9139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)