Provider Demographics
NPI:1699389619
Name:S&M MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:S&M MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MANIRAKIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:HIYARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-546-6799
Mailing Address - Street 1:926 BRIGHT LOTUS LANE
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583
Mailing Address - Country:US
Mailing Address - Phone:281-546-6799
Mailing Address - Fax:
Practice Address - Street 1:926 BRIGHT LOTUS LANE
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-7758
Practice Address - Country:US
Practice Address - Phone:281-546-6799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)