Provider Demographics
NPI:1417744327
Name:MEDITRAVEL
Entity type:Organization
Organization Name:MEDITRAVEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHELEHEM
Authorized Official - Middle Name:T
Authorized Official - Last Name:ABATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-235-0131
Mailing Address - Street 1:506 S RIVERSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2735
Mailing Address - Country:US
Mailing Address - Phone:936-235-0131
Mailing Address - Fax:
Practice Address - Street 1:506 S RIVERSHIRE DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2735
Practice Address - Country:US
Practice Address - Phone:936-283-8144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)