Provider Demographics
NPI:1619303401
Name:ANB MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:ANB MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-721-0893
Mailing Address - Street 1:1617 FANNIN ST
Mailing Address - Street 2:#1210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-7647
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1617 FANNIN ST
Practice Address - Street 2:#1210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-7647
Practice Address - Country:US
Practice Address - Phone:832-721-0893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)