Marian Medical Transportation LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

MARIAN MEDICAL TRANSPORTATION LLC

Practice address

9652 Hathman LN
Fort Worth, TX 76244-9538

Phone

(682) 583-8803

NPI assigned

Jan 11, 2024

Last updated

Jan 11, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marian IbrahimNPI 1003687609

Title

Ceo

Phone

(682) 583-8803

Specialties & licenses 1

Addresses

Other names 1

• Marian Medical Transportation LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marian Ibrahim

  • Secured Medical Transport (VAN)
  • Fort Worth, TX
  • NPI 1003687609
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1174394787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9652 HATHMAN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449538",
            "telephone_number": "682-583-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9652 HATHMAN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449538",
            "telephone_number": "682-583-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-583-8803"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marian Medical Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marian Medical Transportation LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kelly Nicole Marcy
• Katherine D Marczyk Organek, PHD
• Alyssa Danielle Marek, DO
• Theodore Edward Margo, M.D.
• Linda Russell Margraf, MD
• Marine Creek Nursing and Rehabilitation LP
• Philip Vincent Marinelli, DO
• Karina Marino, LPC-A
• Nancy Maritim
• Mark Garza, M.D., PLLC

• Secured Medical Transport (VAN) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.