Provider Demographics
NPI:1689921579
Name:MEDI SHUTTLE LLC
Entity Type:Organization
Organization Name:MEDI SHUTTLE LLC
Other - Org Name:MEDI SHUTTLE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:NABEEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALOBAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-781-1288
Mailing Address - Street 1:9600 FONDREN RD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3682
Mailing Address - Country:US
Mailing Address - Phone:713-781-1288
Mailing Address - Fax:
Practice Address - Street 1:9600 FONDREN RD
Practice Address - Street 2:SUITE B2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3644
Practice Address - Country:US
Practice Address - Phone:713-781-1288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34655315343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)