Provider Demographics
NPI:1962758995
Name:MESCON MEDICAL TRANSPORT & SERVICES
Entity type:Organization
Organization Name:MESCON MEDICAL TRANSPORT & SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:UDOKAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-397-3727
Mailing Address - Street 1:1904 REDFISH DR
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-9234
Mailing Address - Country:US
Mailing Address - Phone:281-397-3727
Mailing Address - Fax:281-909-0623
Practice Address - Street 1:1904 REDFISH DR
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-9234
Practice Address - Country:US
Practice Address - Phone:281-397-3727
Practice Address - Fax:281-909-0623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10008393416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport