Healthcare Provider Details

I. General information

NPI: 1639234750
Provider Name (Legal Business Name): JMA PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 OAK LAWN AVE
DALLAS TX
75219
US

IV. Provider business mailing address

2508 OAK LAWN AVE
DALLAS TX
75219
US

V. Phone/Fax

Practice location:
  • Phone: 214-521-2133
  • Fax: 214-559-2527
Mailing address:
  • Phone: 214-521-2133
  • Fax: 214-559-2527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17647
License Number StateTX

VIII. Authorized Official

Name: MR. JACK R MUNN
Title or Position: OWNER
Credential: RPH
Phone: 214-221-8181