MEDICARE: JPG SERVICES 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1841863750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JPG SERVICES LLC

Provider Business Mailing Address
First Line	:	23144 CINCO RANCH BLVD STE E
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-2893
Country	:	US
Telephone Number	:	281-769-2301
Fax Number	:	281-469-2302

Provider Business Practice Location Address
First Line	:	23144 CINCO RANCH BLVD STE E
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-2893
Country	:	US
Telephone Number	:	281-769-2301
Fax Number	:	281-769-2302

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RYAN P MANN
Credential	:
Telephone Number	:	281-769-2301

Provider Enumeration Date	:	07/19/2021
Last Update Date	:	07/31/2024

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Directions to “JPG SERVICES LLC ” Practice Location

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