NPI Code Details Logo

NPI 1104155274

NPI 1104155274 : JJCK LLC : FRISCO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104155274
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    JJCK LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/18/2009
-----------------------------------------------------
    Last Update Date     |    12/18/2009
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6170 RESEARCH RD SUITE 200
-----------------------------------------------------
    City                 |    FRISCO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75034-2878
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    972-987-1449
-----------------------------------------------------
    Fax                  |    972-987-2176
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6170 RESEARCH RD SUITE 200
-----------------------------------------------------
    City                 |    FRISCO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75034-2878
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    972-987-1440
-----------------------------------------------------
    Fax                  |    972-987-2176
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MR. JAMES  NALLEY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    972-987-1440
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    333300000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Response System Companies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.