Provider Demographics
NPI:1740960731
Name:TX NEMT
Entity type:Organization
Organization Name:TX NEMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABU SAMAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-372-6089
Mailing Address - Street 1:7608 NOVELLA DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76134-4319
Mailing Address - Country:US
Mailing Address - Phone:702-372-6089
Mailing Address - Fax:
Practice Address - Street 1:7608 NOVELLA DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76134-4319
Practice Address - Country:US
Practice Address - Phone:702-372-6089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)