Provider Demographics
NPI:1427393537
Name:SAFETRANS
Entity type:Organization
Organization Name:SAFETRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHAMED
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ABEDALKANEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-319-2495
Mailing Address - Street 1:1111 S CREEK DR APT 932
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-7171
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1111 S CREEK DR APT 932
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-7171
Practice Address - Country:US
Practice Address - Phone:618-319-2495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2012159805343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)