Organization
JUST A GIRL FROM THE BAYOU
Active
Other names
Just a Girl From the Bayou Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
KEESHA L NIX RN, MSN, MHA (CEO)
(512) 705-0370
Entity
Organization
Contact information
Practice address
513 HICKORY RUN DR, CEDAR PARK, TX 78613-3993
(512) 954-4707
Mailing address
513 HICKORY RUN DR, CEDAR PARK, TX 78613-3993
(512) 705-0370
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/03/2024
Last updated
07/27/2024
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