Healthcare Provider Details

I. General information

NPI: 1245600832
Provider Name (Legal Business Name): JMA PARTNERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2015
Last Update Date: 09/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7920 ELMBROOK DR STE 108
DALLAS TX
75247-4933
US

IV. Provider business mailing address

7920 ELMBROOK DR STE 108
DALLAS TX
75247-4933
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number17647
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number17647
License Number StateTX

VIII. Authorized Official

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