Provider Demographics
NPI:1932817624
Name:PRIMECARE TRANSPORTATION INC
Entity type:Organization
Organization Name:PRIMECARE TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARID
Authorized Official - Middle Name:
Authorized Official - Last Name:GASIM ZADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:872-588-8822
Mailing Address - Street 1:7910 PRAIRIE RYE DR
Mailing Address - Street 2:
Mailing Address - City:LAGO VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78645-2076
Mailing Address - Country:US
Mailing Address - Phone:872-588-8822
Mailing Address - Fax:
Practice Address - Street 1:7910 PRAIRIE RYE DR
Practice Address - Street 2:
Practice Address - City:LAGO VISTA
Practice Address - State:TX
Practice Address - Zip Code:78645-2076
Practice Address - Country:US
Practice Address - Phone:872-588-8822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)