Provider Demographics
NPI:1477303550
Name:KTJJ GROUP LLC
Entity type:Organization
Organization Name:KTJJ GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEMITOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOJEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-386-1506
Mailing Address - Street 1:1624 RANCH HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-6654
Mailing Address - Country:US
Mailing Address - Phone:469-386-1506
Mailing Address - Fax:
Practice Address - Street 1:11969 PLANO RD STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5487
Practice Address - Country:US
Practice Address - Phone:469-386-1506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)