NPIMap

Tsama Alemu

Individual provider Active NPI Secured Medical Transport (VAN) · Pflugerville, TX

NPI 1669916524 · NPPES record last updated Dec 12, 2016

Key facts

NPI
1669916524
Entity type
Individual (NPI type 1)
Primary specialty
Secured Medical Transport (VAN) 343800000X
License
343800000X (TX)
Practice address
18808 Huntingtower Castle Blvd
Pflugerville, TX 78660-7464
Phone
(512) 923-4208
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

  • Ettaa Transportation Secured Medical Transport (VAN) · Pflugerville, TX · NPI 1568909521
    NPD SECURED MEDICAL TRANSPORT (VAN)

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
343800000XTXMDSecured Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Ettaa Transportation Secured Medical Transport (Van) Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X 343800000X TX Yes

Addresses

Primary practice location

18808 Huntingtower Castle Blvd
Pflugerville, TX 78660-7464

Mailing address

18808 Huntingtower Castle Blvd
Pflugerville, TX 78660-7464

Other providers in Pflugerville, TX

All providers in Pflugerville, TX · Secured Medical Transport (VAN) in Texas

Sources for this page

Verify at the official NPI Registry.