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MAVSTAR MEDICAL TRANSPORTATION INC. NPI 1073003869


NPI Information

NPI: 1073003869
Provider Name: MAVSTAR MEDICAL TRANSPORTATION, INC.

Doing Business As: MAVERICK MEDICAL TRANSPORTATION COMPANY

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1612 S BROADWAY, BUILDING 2, STE. 200
CARROLLTON, TX
ZIP 75006
Phone: (469) 892-0024
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MAVSTAR MEDICAL TRANSPORTATION, INC. is a non emergency medical transport van in Carrollton, TX. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. MAVSTAR MEDICAL TRANSPORTATION, INC. NPI is 1073003869. The provider is registered as an organization entity type.
The provider Is Doing Business As Maverick Medical Transportation Company.

The provider's business location address is:

1612 S BROADWAY, BUILDING 2, STE. 200
CARROLLTON, TX
ZIP 75006-915
Phone: (469) 892-0024
Fax: (817) 380-6405

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 10/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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