JMC HEALTHCARE SERVICES PC NPI 1639209703

NPI Information

NPI: 1639209703
Provider Name: JMC HEALTHCARE SERVICES PC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2066082

Address:
4915 S MAIN ST STE 116
STAFFORD, TX
ZIP 77477
Phone: (832) 766-0231
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JMC HEALTHCARE SERVICES PC is a family nurse practitioner in Stafford, TX. JMC HEALTHCARE SERVICES PC NPI is 1639209703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4915 S MAIN ST STE 116
STAFFORD, TX
ZIP 77477-601
Phone: (832) 766-0231
Fax: (281) 491-2201

The provider's authorized official is Joyce M. Franklin .
The authorized official title is Director and has the following contact phone number (832) 766-0231.

The CLIA number assigned to this NPI record is 45D2066082 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 10/4/2016.

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 Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	632043	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	156456901	MEDICAID	TEXAS
2	00106U	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE GROUP NUMBER

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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