Individual provider · Type 1 NPI

Tia Kingcannon

Private Vehicle · Dallas, TX

NPI number 1841064342 Active

Practice location

3662 W Camp Wisdom Rd
Dallas, TX 75237-2500

Call (469) 535-1965 Map

Mailing address

2633 Mckinney Ave # 130124
Dallas, TX 75204-2581

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Other private vehicle providers in Dallas

See all in Dallas →

About NPI 1841064342

Tia Kingcannon's National Provider Identifier is 1841064342, issued on Nov 14, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Dallas, TX. The record was last updated on Nov 14, 2023.