Healthcare Provider Details

I. General information

NPI: 1942910161
Provider Name (Legal Business Name): JUBEEZ TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SANDSTONE DR
PROSPER TX
75078-8603
US

IV. Provider business mailing address

250 SANDSTONE DR
PROSPER TX
75078-8603
US

V. Phone/Fax

Practice location:
  • Phone: 214-635-9338
  • Fax:
Mailing address:
  • Phone: 214-635-9338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL ANDRE JUBERT SR.
Title or Position: CEO/OWNER
Credential:
Phone: 214-635-9338