Provider Demographics
NPI:1083075410
Name:AMTS, LLC
Entity Type:Organization
Organization Name:AMTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAFIUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORT VENDOR
Authorized Official - Phone:817-723-0364
Mailing Address - Street 1:7520 INDIGO RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-5106
Mailing Address - Country:US
Mailing Address - Phone:817-723-0364
Mailing Address - Fax:817-394-2514
Practice Address - Street 1:7520 INDIGO RIDGE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-5106
Practice Address - Country:US
Practice Address - Phone:817-723-0364
Practice Address - Fax:817-394-2514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-12
Last Update Date:2016-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)