Provider Demographics
NPI:1386162659
Name:SMART RIDE MEDICAL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:SMART RIDE MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:H
Authorized Official - Last Name:COY
Authorized Official - Suffix:III
Authorized Official - Credentials:JD
Authorized Official - Phone:210-378-3275
Mailing Address - Street 1:2100B NW MILITARY HWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1814
Mailing Address - Country:US
Mailing Address - Phone:210-378-3275
Mailing Address - Fax:210-957-0225
Practice Address - Street 1:2100B NW MILITARY HWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1814
Practice Address - Country:US
Practice Address - Phone:210-355-5777
Practice Address - Fax:210-957-0225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)