Provider Demographics
NPI:1871318121
Name:NB MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:NB MEDICAL TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:MESFIN
Authorized Official - Last Name:ZEWDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-813-9130
Mailing Address - Street 1:3900 OZARK DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-6641
Mailing Address - Country:US
Mailing Address - Phone:254-813-9130
Mailing Address - Fax:
Practice Address - Street 1:2710 ROUTH CREEK PKWY APT 2108
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-0148
Practice Address - Country:US
Practice Address - Phone:254-813-9130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)