Provider Demographics
NPI:1841185360
Name:ELITE MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:ELITE MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EGHOSASERE
Authorized Official - Middle Name:NANCY
Authorized Official - Last Name:EGIEBOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-319-9270
Mailing Address - Street 1:12007 PECAN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2417
Mailing Address - Country:US
Mailing Address - Phone:832-319-9270
Mailing Address - Fax:
Practice Address - Street 1:12007 PECAN MEADOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2417
Practice Address - Country:US
Practice Address - Phone:832-319-9270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty