Provider Demographics
NPI:1063845840
Name:MEDTIME
Entity Type:Organization
Organization Name:MEDTIME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:EVETTE
Authorized Official - Last Name:BROWN- CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-795-6614
Mailing Address - Street 1:704 N THOMPSON ST
Mailing Address - Street 2:SUITE 187
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-2578
Mailing Address - Country:US
Mailing Address - Phone:936-270-7171
Mailing Address - Fax:936-270-7172
Practice Address - Street 1:704 N THOMPSON ST
Practice Address - Street 2:SUITE 187
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2578
Practice Address - Country:US
Practice Address - Phone:936-270-7171
Practice Address - Fax:936-270-7172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty