Healthcare Provider Details

I. General information

NPI: 1609268713
Provider Name (Legal Business Name): JPR INVESTORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2015
Last Update Date: 02/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24214 CARINO STRADA DRIVE
RICHMOND TX
77406-4550
US

IV. Provider business mailing address

22136 WESTHEIMER PKWY # 456
KATY TX
77450-8296
US

V. Phone/Fax

Practice location:
  • Phone: 281-762-0542
  • Fax: 281-762-0542
Mailing address:
  • Phone: 281-762-0452
  • Fax: 281-762-0452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number53862
License Number StateTX

VIII. Authorized Official

Name: DAWN M JENKINS
Title or Position: OWNER
Credential: LCSW
Phone: 281-762-0542