JJP FAMILY PRACTICE LLC NPI 1588610067

NPI Information

NPI: 1588610067
Provider Name: JJP FAMILY PRACTICE LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 45D0901977

Address:
302 S HILLSIDE DR
BEEVILLE, TX
ZIP 78102
Phone: (361) 358-9912
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JJP FAMILY PRACTICE LLC is a rural health clinic center in Beeville, TX. JJP FAMILY PRACTICE LLC NPI is 1588610067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 S HILLSIDE DR
BEEVILLE, TX
ZIP 78102-333
Phone: (361) 358-9912
Fax: (361) 358-7640

The provider's authorized official is Virginia Mora .
The authorized official title is President/ceo-owner and has the following contact phone number (361) 358-2392.

The CLIA number assigned to this NPI record is 45D0901977 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207Q00000X	Family Medicine			No
2	207Q00000X	Family Medicine		TEXAS	No
3	261QR1300X	Clinic/Center	Rural Health		No
4	261QR1300X	Clinic/Center	Rural Health	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0083HG	OTHER	TEXAS	BCBS TEXAS ID NUMBER RHC
2	148458601	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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