Provider Demographics
NPI:1114117371
Name:JP&P HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:JP&P HEALTHCARE AGENCY
Other - Org Name:JP&P HEALTHCARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:IFY
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-404-1509
Mailing Address - Street 1:2737 SPRING RAIN DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4025
Mailing Address - Country:US
Mailing Address - Phone:214-404-1509
Mailing Address - Fax:972-329-3482
Practice Address - Street 1:2737 SPRING RAIN DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-4025
Practice Address - Country:US
Practice Address - Phone:214-404-1509
Practice Address - Fax:972-329-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion