Provider Demographics
NPI:1215593520
Name:MYMEDIHEALTHCARE.COM LLC
Entity Type:Organization
Organization Name:MYMEDIHEALTHCARE.COM LLC
Other - Org Name:MYMEDITRANSIT.COM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-683-4472
Mailing Address - Street 1:16151 CAIRNWAY DR STE 106
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3554
Mailing Address - Country:US
Mailing Address - Phone:832-683-4472
Mailing Address - Fax:832-436-1810
Practice Address - Street 1:16151 CAIRNWAY DR STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3554
Practice Address - Country:US
Practice Address - Phone:832-683-4472
Practice Address - Fax:832-436-1810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance
No347E00000XTransportation ServicesTransportation Broker