MR. Cheadrick Demon Porter

NPI #1790452746 in Jasper, Texas

Provider Information

NPI Number
1790452746
Entity Type
Individual
Name
MR. Cheadrick Demon Porter
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Aug 26, 2021
Last Updated
Aug 26, 2021

Practice Location

Address
3004 OAK CREST ST
City
Jasper
State
Texas
ZIP Code
75951-2065
Phone
(409) 383-8350

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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