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Kevin Gabriel Jackson
Non-emergency Medical Transport (VAN) in Athens, Texas
NPI 1215501358

Kevin Gabriel Jackson is a Non-emergency Medical Transport (VAN) based in Athens, TX. Kevin Gabriel Jackson practices in Athens, TX. The NPI Number for Kevin Gabriel Jackson is 1215501358 and holds a License No. 29219719 (Texas).

The current practice location address for Kevin Gabriel Jackson is 6206 County Road 4511, Athens, TX and can be reached out via phone at 903-603-6863.

Location: 6206 County Road 4511, Athens, TX, 75752-5778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215501358
Provider Name
Kevin Gabriel Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
6206 County Road 4511, Athens, TX, 75752-5778
Phone Number
903-603-6863
Fax Number
Provider Enumeration Date
05/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6206 County Road 4511
City
Athens
State
Texas
Zip
75752-5778
Phone Number
903-603-6863
Fax Number
person
Provider Business Mailing Address Details
Address
6206 County Road 4511
City
Athens
State
Texas
Zip
75752-5778
Phone Number
903-603-6863
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
29219719 (Texas)
Definition
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.
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