MEDICARE: JB THERAPY MASTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	106947	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	TXB156742	OTHER	TX	MEDICARE PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0084XL	OTHER	TX	BLUE CROSS BLUE SHIELD OF TEXAS
3	455423641	OTHER	TX	TRICARE, HUMANA MILITARY
4	798442	OTHER	TX	OPTUM HEALTH, UNITED HEALTHCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114286317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JB THERAPY MASTER PLLC

Provider Business Mailing Address
First Line	:	25634 FARRIER DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1468
Country	:	US
Telephone Number	:	832-463-1543
Fax Number	:

Provider Business Practice Location Address
First Line	:	25634 FARRIER DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1468
Country	:	US
Telephone Number	:	832-463-1543
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. JENNIFER EILEEN BROWN
Credential	:	MS CCC-SLP
Telephone Number	:	832-463-1543

Provider Enumeration Date	:	05/08/2012
Last Update Date	:	04/10/2026

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Directions to “JB THERAPY MASTER PLLC ” Practice Location

Language	Start Address	Practice Location

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