Provider Demographics
NPI:1033597919
Name:UNIQUE GRACE MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:UNIQUE GRACE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEDOKUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADENIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-576-3966
Mailing Address - Street 1:14238 BEECH MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5865
Mailing Address - Country:US
Mailing Address - Phone:832-576-3966
Mailing Address - Fax:281-495-9182
Practice Address - Street 1:14165 BISSONNET ST
Practice Address - Street 2:SUITE D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6356
Practice Address - Country:US
Practice Address - Phone:832-576-3966
Practice Address - Fax:281-495-9182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker