MEDICARE: J MARS CLINICS

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1134469885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J MARS CLINICS

Provider Business Mailing Address
First Line	:	7120 VILLAGE WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-2910
Country	:	US
Telephone Number	:	713-640-1164
Fax Number	:

Provider Business Practice Location Address
First Line	:	7120 VILLAGE WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-2910
Country	:	US
Telephone Number	:	713-640-1164
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MR. JERRY L MARTIN JR.
Credential	:	03/16/2012
Telephone Number	:	713-640-1164

Provider Enumeration Date	:	02/17/2013
Last Update Date	:	02/17/2013

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Directions to “J MARS CLINICS ” Practice Location

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