Provider Demographics
NPI:1356164032
Name:MINA MEDICAL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:MINA MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BATULA
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-788-2885
Mailing Address - Street 1:21502 WILDCROFT DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7412
Mailing Address - Country:US
Mailing Address - Phone:281-788-2885
Mailing Address - Fax:832-240-3368
Practice Address - Street 1:21502 WILDCROFT DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7412
Practice Address - Country:US
Practice Address - Phone:281-788-2885
Practice Address - Fax:832-240-3368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)