Provider Demographics
NPI:1134469885
Name:J MARS CLINICS
Entity Type:Organization
Organization Name:J MARS CLINICS
Other - Org Name:BIG BROWN LOGISTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:03/16/2012
Authorized Official - Phone:713-640-1164
Mailing Address - Street 1:7120 VILLAGE WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-2910
Mailing Address - Country:US
Mailing Address - Phone:713-640-1164
Mailing Address - Fax:
Practice Address - Street 1:7120 VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2910
Practice Address - Country:US
Practice Address - Phone:713-640-1164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-17
Last Update Date:2013-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)