Provider Demographics
NPI:1770250409
Name:TEXAS MOBILE MD SOLUTIONS, LLC
Entity Type:Organization
Organization Name:TEXAS MOBILE MD SOLUTIONS, LLC
Other - Org Name:TX MOBILE MD
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:MURREL
Authorized Official - Last Name:MEDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-713-6550
Mailing Address - Street 1:4801 WOODWAY DR STE 265W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1892
Mailing Address - Country:US
Mailing Address - Phone:281-713-6550
Mailing Address - Fax:281-596-7287
Practice Address - Street 1:4801 WOODWAY DR STE 265W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1892
Practice Address - Country:US
Practice Address - Phone:281-713-6550
Practice Address - Fax:281-596-7287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)