MEDICARE: JAUNT HEALTHCARE PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WI0500X	Infusion Therapy Registered Nurse
2	363L00000X	Nurse Practitioner
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1790506053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAUNT HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	8840 CYPRESS WATERS BLVD STE 150
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-4780
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8840 CYPRESS WATERS BLVD STE 150
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-4780
Country	:	US
Telephone Number	:	210-417-4524
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SABA HAQ
Credential	:	MD
Telephone Number	:	949-463-0650

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	10/21/2024

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Directions to “JAUNT HEALTHCARE PLLC ” Practice Location

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