MEDICARE: JV MEDICAL CLINIC LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1194561068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JV MEDICAL CLINIC LLC

Provider Business Mailing Address
First Line	:	6750 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1512
Country	:	US
Telephone Number	:	832-800-3054
Fax Number	:	832-800-3057

Provider Business Practice Location Address
First Line	:	6750 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1512
Country	:	US
Telephone Number	:	832-800-3056
Fax Number	:	832-800-3057

Authorized Official
Title or Position	:	FNP
Name	:	SANDRA LUIS SANCHEZ
Credential	:	FNP
Telephone Number	:	832-800-3056

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	02/02/2026

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