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Tyiaphius Gordon Mckinney
Private Vehicle in Weatherford, Texas
NPI 1528746534

Tyiaphius Gordon Mckinney is a Private Vehicle based in Weatherford, TX. Tyiaphius Gordon Mckinney practices in Weatherford, TX. The NPI Number for Tyiaphius Gordon Mckinney is 1528746534 and holds a License No. 34882968 (Texas).

The current practice location address for Tyiaphius Gordon Mckinney is 725 Sage Brush Dr, Weatherford, TX and can be reached out via phone at 817-210-5496.

Location: 725 Sage Brush Dr, Weatherford, TX, 76087-2149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528746534
Provider Name
Tyiaphius Gordon Mckinney
Credential
Provider Entity Type
Individual
Gender
Male
Address
725 Sage Brush Dr, Weatherford, TX, 76087-2149
Phone Number
817-210-5496
Fax Number
Provider Enumeration Date
07/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
725 Sage Brush Dr
City
Weatherford
State
Texas
Zip
76087-2149
Phone Number
817-210-5496
Fax Number
person
Provider Business Mailing Address Details
Address
725 Sage Brush Dr
City
Weatherford
State
Texas
Zip
76087-2149
Phone Number
817-210-5496
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
34882968 (Texas)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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