Healthcare Provider Details

I. General information

NPI: 1851799704
Provider Name (Legal Business Name): JKK ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E VIOLET AVE STE 6
MCALLEN TX
78504-2469
US

IV. Provider business mailing address

614 S 1ST LN
MCALLEN TX
78501-1124
US

V. Phone/Fax

Practice location:
  • Phone: 956-630-5795
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberP0127
License Number StateTX

VIII. Authorized Official

Name: JOSE RUBIO
Title or Position: DIRECT OWNER/PROVIDER
Credential: M.D.
Phone: 956-682-4151