Healthcare Provider Details

I. General information

NPI: 1134619430
Provider Name (Legal Business Name): SJ BJORN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 DESHONG DR STE B
PARIS TX
75460
US

IV. Provider business mailing address

PO BOX 837
HOWE TX
75459-0837
US

V. Phone/Fax

Practice location:
  • Phone: 903-706-5035
  • Fax:
Mailing address:
  • Phone: 903-487-2248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: SVEND BJORN
Title or Position: OWNER
Credential: DPM
Phone: 469-352-5561