Provider Demographics
NPI:1669112025
Name:NEMT MALEXIS LLC
Entity type:Organization
Organization Name:NEMT MALEXIS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:NAOMIN
Authorized Official - Middle Name:MBIANGO
Authorized Official - Last Name:YAWELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-391-5035
Mailing Address - Street 1:7455 AVALON TRCE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4487
Mailing Address - Country:US
Mailing Address - Phone:713-391-5035
Mailing Address - Fax:
Practice Address - Street 1:8300 BISSONNET ST STE 460E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3914
Practice Address - Country:US
Practice Address - Phone:713-391-5035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-31
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Single Specialty
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty
No281P00000XHospitalsChronic Disease HospitalGroup - Single Specialty