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Michael Khadem
Secured Medical Transport (VAN) in San Antonio, Texas
NPI 1992192090

Michael Khadem is a Secured Medical Transport (VAN) based in San Antonio, TX. Michael Khadem practices in San Antonio, TX. The NPI Number for Michael Khadem is 1992192090 and holds a License No. 343800000X (Texas).

The current practice location address for Michael Khadem is 5550 Rittiman Rd, San Antonio, TX and can be reached out via phone at 210-227-5466 and via fax at 210-599-1152.

Location: 5550 Rittiman Rd, San Antonio, TX, 78218-4703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992192090
Provider Name
Michael Khadem
Credential
Provider Entity Type
Individual
Gender
Male
Address
5550 Rittiman Rd, San Antonio, TX, 78218-4703
Phone Number
210-227-5466
Fax Number
210-599-1152
Provider Enumeration Date
04/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
343800000X 05 TX
institution
Provider Business Practice Location Address Details
Address
5550 Rittiman Rd
City
San Antonio
State
Texas
Zip
78218-4703
Phone Number
210-227-5466
Fax Number
210-599-1152
person
Provider Business Mailing Address Details
Address
5550 Rittiman Rd
City
San Antonio
State
Texas
Zip
78218-4703
Phone Number
210-227-5466
Fax Number
210-599-1152
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
343800000X
License No.
343800000X (Texas)
Definition
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
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