Southside Medical Transporation

Primary specialty

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

License

S09JXJ Issued in TX

Legal business name

SOUTHSIDE MEDICAL TRANSPORATION

Practice address

6829 Almeda Genoa Rd
Houston, TX 77075-2803

Phone

(713) 991-5518

Fax

(713) 991-5357

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Delores Maxine Jackson

Title

Owner

Phone

(713) 991-5518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1821252909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 ALMEDA GENOA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770752803",
            "telephone_number": "713-991-5518",
            "fax_number": "713-991-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 ALMEDA GENOA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770752803",
            "telephone_number": "713-991-5518",
            "fax_number": "713-991-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE MEDICAL TRANSPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-991-5518",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "S09JXJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southloop MRI Centers, Inc.
• Southmore Pathology
• Southmore Surgical Group
• Southpoint EMS, LLC
• Southside Diagnostic Services, LLC
• Southside Sleep Lab Management, LLC
• Southside Sleep Lab, LP
• Southside Wound Care Center LLC
• Southstar Clinical
• Southtexas Rehabilitation Inc

• Non-emergency Medical Transport (VAN) in Houston, TX
• Providers in Houston, 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 Jul 17, 2008; 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.