Provider Demographics
NPI:1255101804
Name:MEDICWHEELS OF TEXAS
Entity type:Organization
Organization Name:MEDICWHEELS OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER AND DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCEMONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-288-1665
Mailing Address - Street 1:504 MAGELLAN RD
Mailing Address - Street 2:
Mailing Address - City:SEAGOVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75159-3680
Mailing Address - Country:US
Mailing Address - Phone:214-288-1665
Mailing Address - Fax:
Practice Address - Street 1:504 MAGELLAN RD
Practice Address - Street 2:
Practice Address - City:SEAGOVILLE
Practice Address - State:TX
Practice Address - Zip Code:75159-3680
Practice Address - Country:US
Practice Address - Phone:214-288-1665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No174200000XOther Service ProvidersMeals
No342000000XTransportation ServicesTransportation Network Company
No347C00000XTransportation ServicesPrivate Vehicle