Provider Demographics
NPI:1801199328
Name:METRO MED TRANSPORTATION
Entity Type:Organization
Organization Name:METRO MED TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVIE
Authorized Official - Middle Name:DEWAYNE
Authorized Official - Last Name:BELOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-233-6205
Mailing Address - Street 1:1113 BLUFFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-3519
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1113 BLUFFVIEW DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3519
Practice Address - Country:US
Practice Address - Phone:469-233-6295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14080211343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)