Provider Demographics
NPI:1750803441
Name:MR&K ENTERPRISES LLC DBA ALIRA TRANSPORT
Entity type:Organization
Organization Name:MR&K ENTERPRISES LLC DBA ALIRA TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:HUSSAIN
Authorized Official - Last Name:HASHMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-627-9522
Mailing Address - Street 1:2413 CREEK VILLAS DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6118
Mailing Address - Country:US
Mailing Address - Phone:817-627-9522
Mailing Address - Fax:
Practice Address - Street 1:339 N BOWEN RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4815
Practice Address - Country:US
Practice Address - Phone:817-627-9522
Practice Address - Fax:817-627-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid