Provider Demographics
NPI:1487271128
Name:MEDEX TRANSPORTATION ASSOCIATION
Entity type:Organization
Organization Name:MEDEX TRANSPORTATION ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-819-1815
Mailing Address - Street 1:4201 CYPRESS CREEK PKWY # 502
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3414
Mailing Address - Country:US
Mailing Address - Phone:832-819-1815
Mailing Address - Fax:800-499-4974
Practice Address - Street 1:4201 CYPRESS CREEK PKWY # 502
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3414
Practice Address - Country:US
Practice Address - Phone:832-819-1815
Practice Address - Fax:800-499-4974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)