=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346123569
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACK TRANSPORTATION AND LOGISTICS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2025
-----------------------------------------------------
Last Update Date | 07/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8402 COUNTY ROAD 2193
-----------------------------------------------------
City | WHITEHOUSE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75791-9423
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-283-8364
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8402 COUNTY ROAD 2193
-----------------------------------------------------
City | WHITEHOUSE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75791-9423
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-283-8364
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER/FOUNDER
-----------------------------------------------------
Name | DEMARKUS KING
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 903-283-8364
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------