Provider Demographics
NPI:1972914414
Name:RELI MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:RELI MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:972-802-9217
Mailing Address - Street 1:3653 BRIARGROVE LN
Mailing Address - Street 2:1513
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6136
Mailing Address - Country:US
Mailing Address - Phone:972-802-9217
Mailing Address - Fax:
Practice Address - Street 1:3653 BRIARGROVE LN
Practice Address - Street 2:1513
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-6136
Practice Address - Country:US
Practice Address - Phone:972-802-9217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)