Provider Demographics
NPI:1356871297
Name:QUICK TRANSPORT
Entity type:Organization
Organization Name:QUICK TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:HIFAA
Authorized Official - Middle Name:KHIDIR
Authorized Official - Last Name:FADLELMULA
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:817-666-2099
Mailing Address - Street 1:2625 N HWY 360 APT 1021
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-7895
Mailing Address - Country:US
Mailing Address - Phone:682-622-1504
Mailing Address - Fax:
Practice Address - Street 1:2625 N HWY 360 APT 1021
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-7895
Practice Address - Country:US
Practice Address - Phone:682-622-1504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)