Provider Demographics
NPI:1386884799
Name:ADAPTIVE MEDICAL SERVICES
Entity type:Organization
Organization Name:ADAPTIVE MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KJOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-370-8144
Mailing Address - Street 1:11606 IDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-2841
Mailing Address - Country:US
Mailing Address - Phone:281-370-8144
Mailing Address - Fax:832-201-8480
Practice Address - Street 1:11606 IDLEBROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2841
Practice Address - Country:US
Practice Address - Phone:281-370-8144
Practice Address - Fax:832-201-8480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker