Provider Demographics
NPI:1023442282
Name:MONARCH MEDICAL TRANSPORT
Entity type:Organization
Organization Name:MONARCH MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:AGUIRRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-363-5993
Mailing Address - Street 1:PO BOX 14403
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78761-4403
Mailing Address - Country:US
Mailing Address - Phone:512-366-5176
Mailing Address - Fax:512-366-5176
Practice Address - Street 1:10401 N LAMAR BLVD
Practice Address - Street 2:APT S204
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-3459
Practice Address - Country:US
Practice Address - Phone:512-366-5176
Practice Address - Fax:512-366-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)