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Mr. Cheadrick Demon Porter
Non-emergency Medical Transport (VAN) in Jasper, Texas
NPI 1790452746

Cheadrick Demon Porter is a Non-emergency Medical Transport (VAN) based in Jasper, TX. Cheadrick Demon Porter practices in Jasper, TX. The NPI Number for Cheadrick Demon Porter is 1790452746 and holds a License No. (Texas).

The current practice location address for Cheadrick Demon Porter is 3004 Oak Crest St, Jasper, TX and can be reached out via phone at 409-383-8350.

Location: 3004 Oak Crest St, Jasper, TX, 75951-2065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790452746
Provider Name
Cheadrick Demon Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
3004 Oak Crest St, Jasper, TX, 75951-2065
Phone Number
409-383-8350
Fax Number
Provider Enumeration Date
08/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3004 Oak Crest St
City
Jasper
State
Texas
Zip
75951-2065
Phone Number
409-383-8350
Fax Number
person
Provider Business Mailing Address Details
Address
3004 Oak Crest St
City
Jasper
State
Texas
Zip
75951-2065
Phone Number
409-383-8350
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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