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Organization

JDG PROVIDER SERVICES LLC

Active
Other names
JDG NON-EMERGENCY MEDICAL TRANSPORT
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KINGSLEY OBIANWU (MANAGING MEMBER)
(903) 372-5024
Entity
Organization

Contact information

Practice address
1419 W 3RD ST, TYLER, TX 75701-2711
(903) 372-5024
Mailing address
1419 W 3RD ST, TYLER, TX 75701-2711
(903) 372-5024

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
03/31/2019
Last updated
04/03/2019
About Stedi
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Product
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  • Eligibility checks
  • EDI platform