Provider Demographics
NPI:1760254882
Name:JARIR, MINA
Entity Type:Individual
Prefix:
First Name:MINA
Middle Name:
Last Name:JARIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24622 GREENWOOD BAY DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5205
Mailing Address - Country:US
Mailing Address - Phone:346-587-4248
Mailing Address - Fax:281-783-2876
Practice Address - Street 1:24622 GREENWOOD BAY DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5205
Practice Address - Country:US
Practice Address - Phone:346-587-4248
Practice Address - Fax:281-783-2876
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle