Provider Demographics
NPI:1932849122
Name:JAMK TRANSPORTATION
Entity Type:Organization
Organization Name:JAMK TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:PA
Authorized Official - Middle Name:MUSA
Authorized Official - Last Name:NYANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-975-3021
Mailing Address - Street 1:2365 APOLLO RD APT 924
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-6332
Mailing Address - Country:US
Mailing Address - Phone:469-975-3021
Mailing Address - Fax:
Practice Address - Street 1:2365 APOLLO RD APT 924
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-6332
Practice Address - Country:US
Practice Address - Phone:469-975-3021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)