Provider Demographics
NPI:1548848831
Name:GUARDIAN MEDICAL TRANSPORTATION INC.
Entity type:Organization
Organization Name:GUARDIAN MEDICAL TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:808-673-3010
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-0217
Mailing Address - Country:US
Mailing Address - Phone:808-673-3010
Mailing Address - Fax:
Practice Address - Street 1:104 TRINITY DR
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-4330
Practice Address - Country:US
Practice Address - Phone:808-673-3010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)