Healthcare Provider Details

I. General information

NPI: 1497008593
Provider Name (Legal Business Name): JTJ MARKETING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2012
Last Update Date: 10/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 W AIRPORT FWY STE 590
IRVING TX
75062-5831
US

IV. Provider business mailing address

PO BOX 25006
FORT WORTH TX
76124-2006
US

V. Phone/Fax

Practice location:
  • Phone: 817-457-9850
  • Fax: 817-287-0001
Mailing address:
  • Phone: 817-457-9850
  • Fax: 817-287-0001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER BIGBEE
Title or Position: VICE PRESISDENT
Credential:
Phone: 214-288-2453