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NPI Code Detail

MEDICARE: JOMPG CORPORATION

MEDICARE: JOMPG CORPORATION
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
1251E00000XHome Health Agency013006TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366686511
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOMPG CORPORATION
Provider Business Mailing Address
First Line : 7806 GATEWAY BLVD E STE 100
Second Line :
City : EL PASO
State : TX
Zip : 79915-1806
Country : US
Telephone Number : 915-599-9927
Fax Number : 915-599-9931
Provider Business Practice Location Address
First Line : 7806 GATEWAY BLVD E STE 100
Second Line :
City : EL PASO
State : TX
Zip : 79915-1806
Country : US
Telephone Number : 915-599-9927
Fax Number : 915-599-9931
Authorized Official
Title or Position : CFO
Name : MR. ANTONIO ORTIZ
Credential :
Telephone Number : 915-599-9927
Provider Enumeration Date : 04/30/2009
Last Update Date : 04/27/2021

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Directions to “JOMPG CORPORATION ” Practice Location

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