MEDICARE: J & C TRANSPORTATION SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1043012586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & C TRANSPORTATION SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	16821 BUCCANEER LN STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2512
Country	:	US
Telephone Number	:	346-269-4048
Fax Number	:

Provider Business Practice Location Address
First Line	:	16821 BUCCANEER LN STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2512
Country	:	US
Telephone Number	:	346-269-4048
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JEREMIAH LOUIS CARLOS JACKSON
Credential	:
Telephone Number	:	346-269-4048

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	03/25/2025

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