MAVSTAR MEDICAL TRANSPORTATION, INC. (NPI# 1073003869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073003869 |
| Entity Type | Organization |
| Organization Name | MAVSTAR MEDICAL TRANSPORTATION, INC. |
| Other Organization Name | MAVERICK MEDICAL TRANSPORTATION COMPANY |
| Practice Address |
4240 Golden Triangle Blvd Fort Worth TX 76244 |
| Mailing Address |
1606 W Whispering Wind Dr Phoenix AZ 85085-1322 |
| Practice Telephone | 8173806400 |
| Practice Fax Number | 8173806405 |
| Mailing Telephone | 8173806400 |
| Mailing Fax Number | 8173806405 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | SOON BURNAM (TREASURER) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Other Name | Type Code |
|---|---|
| Maverick Medical Transportation Company | Doing Business As Name - Organization |
| Street Address |
4240 GOLDEN TRIANGLE BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824106 | Nita Marie Quintana | Occupational Therapist | 4240 Golden Triangle Blvd, Fort Worth, TX 76244-4843 | 2018-09-07 |
| 1871073981 | Amitbhai Patel | Physical Therapist | 4240 Golden Triangle Blvd, Fort Worth, TX 76244-4843 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580313 | Hassan Hassan Sr. | Non-emergency Medical Transport (VAN) | 4504 Cathedral Dr Apt 1404, Fort Worth, TX 76119-8704 | 2020-08-24 |
| 1750992061 | Azrielle D Toliver | Non-emergency Medical Transport (VAN) | 10213 Feldspar Dr, Fort Worth, TX 76131-4282 | 2020-08-11 |
| 1861014904 | Aalvina and Elijah Inc | Non-emergency Medical Transport (VAN) | 1848 Potrillo Ln, Fort Worth, TX 76131-1446 | 2020-05-12 |
| 1023638251 | Ride N' Safe, LLC | Non-emergency Medical Transport (VAN) | 15400 Highway 377 S, Fort Worth, TX 76126-5524 | 2020-04-17 |
| 1164050738 | Ace Ride Share | Non-emergency Medical Transport (VAN) | 5725 E Lancaster Ave # 209, Fort Worth, TX 76112-6528 | 2020-03-30 |
| 1912539024 | Jabrill Omar Jimaale | Non-emergency Medical Transport (VAN) | 5725 E Lancaster Ave, Fort Worth, TX 76112-6528 | 2020-02-06 |
| 1215567227 | Angela Woods | Non-emergency Medical Transport (VAN) | 2937 Timberline Dr, Fort Worth, TX 76119-4735 | 2020-01-17 |
| 1447892609 | Thomas R Nolley Sr. | Non-emergency Medical Transport (VAN) | 6921 Chippendale Dr, Fort Worth, TX 76134-3803 | 2019-10-09 |
| 1184102295 | Arrow Transportation | Non-emergency Medical Transport (VAN) | 6161 Shad Dr, Fort Worth, TX 76179-7589 | 2018-07-31 |
| 1679051080 | Kaygee Medical Transportation Services | Non-emergency Medical Transport (VAN) | 7204 Silver City Dr, Fort Worth, TX 76179-2223 | 2018-07-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.