Individual
KAJUANA GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 TRIMBLE DR, FORT WORTH, TX 76134-4639
(219) 359-0796
Mailing address
7301 TRIMBLE DR, FORT WORTH, TX 76134-4639
(219) 359-0796
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
174400000X
Specialist
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639957533
MEDITRANS XPRESS
—
Enumeration date
07/14/2023
Last updated
09/29/2023
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