Provider Demographics
NPI:1477844520
Name:C.A.L.L MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:C.A.L.L MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:GUILLERMINA
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-525-2189
Mailing Address - Street 1:5401 CHIMNEY ROCK RD APT 147
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2017
Mailing Address - Country:US
Mailing Address - Phone:832-524-6241
Mailing Address - Fax:
Practice Address - Street 1:5401 CHIMNEY ROCK RD APT 147
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2017
Practice Address - Country:US
Practice Address - Phone:832-524-6241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid