Provider Demographics
NPI:1003095233
Name:UNITED MEDICAL TRANSPORTS, INC.
Entity Type:Organization
Organization Name:UNITED MEDICAL TRANSPORTS, INC.
Other - Org Name:UNITED MEDICAL TRANSPORTS INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PERALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-474-0713
Mailing Address - Street 1:1227 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-4898
Mailing Address - Country:US
Mailing Address - Phone:830-325-1870
Mailing Address - Fax:888-446-2326
Practice Address - Street 1:1227 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-4898
Practice Address - Country:US
Practice Address - Phone:830-325-1870
Practice Address - Fax:888-446-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10000793416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB643Medicare PIN