Medtran Service Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000261 Issued in TX

Legal business name

MEDTRAN SERVICE COMPANY

Practice address

10310 Antoine Dr
Building-B
Houston, TX 77086-2027

Phone

(281) 820-1500

Fax

(281) 820-1503

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Laverne Harris

Title

Owner

Phone

(281) 820-1500

Specialties & licenses 1

Addresses

Other names 1

• MEDTRAN SERVICES, LLC Other name

Locations

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1609010412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 ANTOINE DR",
            "address_2": "BUILDING-B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770862027",
            "telephone_number": "281-820-1500",
            "fax_number": "281-820-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 ANTOINE DR",
            "address_2": "BUILDING-B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770862027",
            "telephone_number": "281-820-1500",
            "fax_number": "281-820-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRAN SERVICE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LAVERNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-820-1500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDTRAN SERVICES, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.