NPI 1073003869
Mavstar Medical Transportation, INC.
Practice location
- Address
- 1612 S Broadway, Building 2, STE. 200, Carrollton, TX 75006-8915
- Phone
- (469) 892-0024
- Fax
- (817) 380-6405
- Mailing address
- 1606 W Whispering Wind Dr, Phoenix, AZ 85085-1322
Authorised official
- Name
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1073003869
- Entity type
- Organization
- NPI issued
- 16 May 2018
- Record last updated
- 4 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.