Provider Demographics
NPI:1780067140
Name:FRIENDS MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:FRIENDS MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:NAGI
Authorized Official - Middle Name:H
Authorized Official - Last Name:ISMAEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-622-1504
Mailing Address - Street 1:703 CHAFFEE CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-2422
Mailing Address - Country:US
Mailing Address - Phone:817-770-3975
Mailing Address - Fax:817-736-0577
Practice Address - Street 1:703 CHAFFEE CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-2422
Practice Address - Country:US
Practice Address - Phone:817-770-3975
Practice Address - Fax:817-736-0577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)