Provider Demographics
NPI:1992233308
Name:FM TRANSPORTATION, LLC
Entity type:Organization
Organization Name:FM TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FABRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHINGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-533-3093
Mailing Address - Street 1:10333 HARWIN DR
Mailing Address - Street 2:SUITE 120K
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:281-533-3093
Mailing Address - Fax:832-224-2804
Practice Address - Street 1:10333 HARWIN DR
Practice Address - Street 2:SUITE 120K
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1545
Practice Address - Country:US
Practice Address - Phone:281-533-3093
Practice Address - Fax:832-224-2804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-30
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)