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Jabrill Omar Jimaale
Non-emergency Medical Transport (VAN) in Fort Worth, Texas
NPI 1912539024

Jabrill Omar Jimaale is a Non-emergency Medical Transport (VAN) based in Fort Worth, TX. Jabrill Omar Jimaale practices in Fort Worth, TX. The NPI Number for Jabrill Omar Jimaale is 1912539024 and holds a License No. T950225934414 (Texas).

The current practice location address for Jabrill Omar Jimaale is 5725 E Lancaster Ave, Fort Worth, TX and can be reached out via phone at 817-851-1663 and via fax at 817-851-1664.

Location: 5725 E Lancaster Ave, Fort Worth, TX, 76112-6528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912539024
Provider Name
Jabrill Omar Jimaale
Credential
Provider Entity Type
Individual
Gender
Male
Address
5725 E Lancaster Ave, Fort Worth, TX, 76112-6528
Phone Number
817-851-1663
Fax Number
817-851-1664
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
842077605 01 TX NON EMERGENCY MEDICAL TRANSPORTATION
842077605 01 TX NON EMERGENCY MEDICAL TRANPORTATION
institution
Provider Business Practice Location Address Details
Address
5725 E Lancaster Ave
City
Fort Worth
State
Texas
Zip
76112-6528
Phone Number
817-851-1663
Fax Number
817-851-1664
person
Provider Business Mailing Address Details
Address
5725 E Lancaster Ave
City
Fort Worth
State
Texas
Zip
76112-6528
Phone Number
817-851-1663
Fax Number
817-851-1664
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
T950225934414 (Minnesota)
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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