Healthcare Provider Details

I. General information

NPI: 1093897589
Provider Name (Legal Business Name): JMA PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 04/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7920 ELMBROOK DRIVE SUITE 108
DALLAS TX
75247
US

IV. Provider business mailing address

7920 ELMBROOK DR SUITE 108
DALLAS TX
75247-6900
US

V. Phone/Fax

Practice location:
  • Phone: 214-221-8181
  • Fax: 214-221-8282
Mailing address:
  • Phone: 214-221-8181
  • Fax: 214-221-8282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

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