Healthcare Provider Details

I. General information

NPI: 1316300718
Provider Name (Legal Business Name): JMAR PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 04/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 N MESA ST
EL PASO TX
79902-1505
US

IV. Provider business mailing address

4110 N MESA ST
EL PASO TX
79902-1505
US

V. Phone/Fax

Practice location:
  • Phone: 915-532-5589
  • Fax:
Mailing address:
  • Phone: 915-532-5589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MARLA DE LA TORRE
Title or Position: VICE-PRESIDENT
Credential:
Phone: 915-526-6683