Provider Demographics
NPI:1699410969
Name:SOUTH TEXAS MEDICAL TRANSPORT SERVICE LLC
Entity Type:Organization
Organization Name:SOUTH TEXAS MEDICAL TRANSPORT SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:NNADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-883-4810
Mailing Address - Street 1:800 GENERAL CAVAZOS BLVD APT 902
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-7242
Mailing Address - Country:US
Mailing Address - Phone:832-883-4810
Mailing Address - Fax:
Practice Address - Street 1:800 GENERAL CAVAZOS BLVD APT 902
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-7242
Practice Address - Country:US
Practice Address - Phone:832-883-4810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1427652635OtherNPPES