Healthcare Provider Details
I. General information
NPI: 1891345799
Provider Name (Legal Business Name): JMA MEDICAL GROUP LTD LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2019
Last Update Date: 09/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 KINGWOOD MEDICAL DR
KINGWOOD TX
77339-6006
US
IV. Provider business mailing address
201 KINGWOOD MEDICAL DR
KINGWOOD TX
77339-6006
US
V. Phone/Fax
- Phone: 904-429-4188
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFF
ARTHUR
Title or Position: OWNER
Credential: MD
Phone: 904-429-4188