Provider Demographics
NPI:1659134476
Name:BLACKCAR MEDICAL
Entity Type:Organization
Organization Name:BLACKCAR MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:INVERNESS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-916-7997
Mailing Address - Street 1:15615 HALEYS LANDING LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2280
Mailing Address - Country:US
Mailing Address - Phone:708-275-6253
Mailing Address - Fax:
Practice Address - Street 1:801 TRAVIS ST STE 2101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-5730
Practice Address - Country:US
Practice Address - Phone:800-916-7997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No342000000XTransportation ServicesTransportation Network Company