MEDICARE: JCS HOPE HEALTH 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	:	1316692163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JCS HOPE HEALTH LLC

Provider Business Mailing Address
First Line	:	4478 HIGHWAY 6 N STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3440
Country	:	US
Telephone Number	:	281-937-4973
Fax Number	:	281-937-4974

Provider Business Practice Location Address
First Line	:	4478 HIGHWAY 6 N STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3440
Country	:	US
Telephone Number	:	281-937-4973
Fax Number	:	281-937-4974

Authorized Official
Title or Position	:	FNP/MANAGER
Name	:	JULIO CESAR ARIAS SOTO
Credential	:	FNP
Telephone Number	:	346-314-7358

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	06/09/2023

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