Provider Demographics
NPI:1861044067
Name:MEDI-TAXI LLC
Entity Type:Organization
Organization Name:MEDI-TAXI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-209-0414
Mailing Address - Street 1:11169 BEECHNUT ST STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-4341
Mailing Address - Country:US
Mailing Address - Phone:832-209-0414
Mailing Address - Fax:713-758-0109
Practice Address - Street 1:11169 BEECHNUT ST STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-4341
Practice Address - Country:US
Practice Address - Phone:832-209-0414
Practice Address - Fax:713-758-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)