(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003537929
Provider Name: ARTHUR RAY JACKSON
Entity Type: Individual
Taxonomy Code: 343900000X
Specialty: Non-emergency Medical Transport (VAN)
License Number: 11094230
Most Important Dates
Enumeration Date: 09/08/2022
Last Updated: 09/21/2022
Provider Practice Location
97 BIRDIE CIR
LA PORTE
TX
775717277
Practice Location Phone/Fax
Phone: 2818893366
Fax:
Provider Mailing Location
97 BIRDIE CIR
LA PORTE
TX
775717277
Provider Mailing Phone/Fax
Phone: 2818893366
Fax: