Kevin Gabriel Jackson

NPI #1215501358 in Athens, Texas

Provider Information

NPI Number
1215501358
Entity Type
Individual
Name
Kevin Gabriel Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
May 13, 2021
Last Updated
May 13, 2021

Practice Location

Address
6206 COUNTY ROAD 4511
City
Athens
State
Texas
ZIP Code
75752-5778
Phone
(903) 603-6863

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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