Provider Demographics
NPI:1154080026
Name:SMARTECARE MEDICAL TRANSPORTATION COMPANY LLC
Entity Type:Organization
Organization Name:SMARTECARE MEDICAL TRANSPORTATION COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-435-8384
Mailing Address - Street 1:14222 KIMBERLEY LN APT 479
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4823
Mailing Address - Country:US
Mailing Address - Phone:281-435-8384
Mailing Address - Fax:
Practice Address - Street 1:14222 KIMBERLEY LN APT 479
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4823
Practice Address - Country:US
Practice Address - Phone:281-435-8384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date: