Provider Demographics
NPI:1275963183
Name:METRO DELIVERY AND TRANSPORT
Entity Type:Organization
Organization Name:METRO DELIVERY AND TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CORNELIUS
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-501-0622
Mailing Address - Street 1:6420 RICHMOND AVE STE 577
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5922
Mailing Address - Country:US
Mailing Address - Phone:281-501-0622
Mailing Address - Fax:281-501-0620
Practice Address - Street 1:6420 RICHMOND AVE STE 577
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5922
Practice Address - Country:US
Practice Address - Phone:281-501-0622
Practice Address - Fax:281-501-0620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343900000X
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)