Mary Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MARY TRANSPORTATION LLC

Doing business as

No

Practice address

14908 Tuff Rd
Manor, TX 78653-2217

Phone

(956) 367-1967

NPI assigned

May 4, 2023

Last updated

May 4, 2023By 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

Negussie Amsale GebrmariamNPI 1952810269

Title

Manger

Phone

(956) 367-1967

Specialties & licenses 1

Addresses

Other names 1

• No Doing business as

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.

• Negussie Amsale Gebrmariam

  • Driver
  • Austin, TX
  • NPI 1952810269

  Non-Emergency Medical Transport (Van)

  NPD Authorized official

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1669161618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14908 TUFF RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532217",
            "telephone_number": "956-367-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14908 TUFF RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532217",
            "telephone_number": "956-367-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "GEBRMARIAM",
        "authorized_official_first_name": "NEGUSSIE",
        "authorized_official_middle_name": "AMSALE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "956-367-1967"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "No",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Manor, TX
• Providers in Manor, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.