Provider Demographics
NPI:1679051080
Name:KAYGEE MEDICAL TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:KAYGEE MEDICAL TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:U
Authorized Official - Last Name:OMOPARIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-585-0761
Mailing Address - Street 1:7204 SILVER CITY DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-2223
Mailing Address - Country:US
Mailing Address - Phone:713-585-0761
Mailing Address - Fax:
Practice Address - Street 1:7204 SILVER CITY DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76179-2223
Practice Address - Country:US
Practice Address - Phone:713-585-0761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)