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Mr. Jerry Leo Moore JR.
Non-emergency Medical Transport (VAN) in Frisco, Texas
NPI 1720501455

Jerry Leo Moore JR. is a Non-emergency Medical Transport (VAN) based in Frisco, TX. Jerry Leo Moore JR. practices in Frisco, TX. The NPI Number for Jerry Leo Moore JR. is 1720501455 and holds a License No. (Texas).

The current practice location address for Jerry Leo Moore JR. is 10408 Preston Vineyard Dr, Frisco, TX and can be reached out via phone at 504-654-7331. You can also correspond with Jerry Leo Moore JR. through the mailing address at 10408 PRESTON VINEYARD DR, FRISCO, TX - 75035-8027 (mailing address contact number: 504-654-7331).

Location: 10408 Preston Vineyard Dr, Frisco, TX, 75035-8027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720501455
Provider Name
Jerry Leo Moore JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
10408 Preston Vineyard Dr, Frisco, TX, 75035-8027
Phone Number
504-654-7331
Fax Number
Provider Enumeration Date
07/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10408 Preston Vineyard Dr
City
Frisco
State
Texas
Zip
75035
Phone Number
504-654-7331
Fax Number
person
Provider Business Mailing Address Details
Address
10408 Preston Vineyard Dr
City
Frisco
State
Texas
Zip
75035-8027
Phone Number
504-654-7331
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
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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