Individual
ARTHUR RAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 BIRDIE CIR, LA PORTE, TX 77571-7277
(281) 889-3366
Mailing address
97 BIRDIE CIR, LA PORTE, TX 77571-7277
(281) 889-3366
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
11094230
TX
Other
Enumeration date
09/08/2022
Last updated
09/21/2022
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