Provider Demographics
NPI:1134638091
Name:JKEB TRANSPORTATION
Entity Type:Organization
Organization Name:JKEB TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EFREM
Authorized Official - Middle Name:NEFSSE
Authorized Official - Last Name:BORGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-426-9788
Mailing Address - Street 1:2428 DUNES DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-5006
Mailing Address - Country:US
Mailing Address - Phone:512-426-9788
Mailing Address - Fax:
Practice Address - Street 1:2428 DUNES DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-5006
Practice Address - Country:US
Practice Address - Phone:512-426-9788
Practice Address - Fax:512-426-9788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)