Provider Demographics
NPI:1841645009
Name:MEDICAL TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:MEDICAL TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:UBOM
Authorized Official - Suffix:
Authorized Official - Credentials:DBA
Authorized Official - Phone:214-436-0265
Mailing Address - Street 1:18250 MARSH LN
Mailing Address - Street 2:# 206
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-5700
Mailing Address - Country:US
Mailing Address - Phone:214-436-0265
Mailing Address - Fax:469-900-8497
Practice Address - Street 1:18250 MARSH LN
Practice Address - Street 2:# 206
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-5700
Practice Address - Country:US
Practice Address - Phone:214-436-0265
Practice Address - Fax:469-900-8497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)