MEDICARE: JAMAL OLAKUNLE JOSEPH

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	343900000X	Non-emergency Medical Transport (VAN)		TX
2	343800000X	Secured Medical Transport (VAN)		TX

General Provider Information

NPI Number	:	1962183699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMAL OLAKUNLE JOSEPH

Provider Business Mailing Address
First Line	:	24958 TIDMOR LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1160
Country	:	US
Telephone Number	:	832-228-7757
Fax Number	:

Provider Business Practice Location Address
First Line	:	24958 TIDMOR LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1160
Country	:	US
Telephone Number	:	832-228-7757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2023
Last Update Date	:	12/16/2025

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