Provider Demographics
NPI:1588050579
Name:QUEEN M DISPATCH & LEASING INC
Entity type:Organization
Organization Name:QUEEN M DISPATCH & LEASING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELIKA
Authorized Official - Middle Name:H
Authorized Official - Last Name:ADEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-581-3288
Mailing Address - Street 1:6300 ALDER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4404
Mailing Address - Country:US
Mailing Address - Phone:832-581-3288
Mailing Address - Fax:832-581-3289
Practice Address - Street 1:6300 ALDER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4404
Practice Address - Country:US
Practice Address - Phone:832-581-3288
Practice Address - Fax:832-581-3289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)