Provider Demographics
NPI:1528435641
Name:MCEWAN MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:MCEWAN MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCEWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-288-2810
Mailing Address - Street 1:6041 VILLAGE BEND DR
Mailing Address - Street 2:#1105
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3600
Mailing Address - Country:US
Mailing Address - Phone:214-288-2810
Mailing Address - Fax:469-283-0603
Practice Address - Street 1:6041 VILLAGE BEND DR
Practice Address - Street 2:#1105
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-3600
Practice Address - Country:US
Practice Address - Phone:214-288-2810
Practice Address - Fax:469-283-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)