Kevin Gabriel Jackson
Kevin Gabriel Jackson is a Non-emergency Medical Transport (VAN) in Athens, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2021
Practice location Address checks out
6206 County Road 4511Athens, TX 75752-5778
Phone: (903) 603-6863
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence 29219719 (TX) |
|---|
Record details
| NPI number | 1215501358 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2021 |
| Last updated in NPPES | May 13, 2021 |
| Certification date | May 13, 2021 |
| Mailing address | 6206 County Road 4511, Athens, TX 75752-5778 |