Provider Demographics
NPI:1174298079
Name:JUST SHOTS, PLLC
Entity Type:Organization
Organization Name:JUST SHOTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF STRATEGY
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-200-6413
Mailing Address - Street 1:500 N CENTRAL EXPY # 500AT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6772
Mailing Address - Country:US
Mailing Address - Phone:469-200-6413
Mailing Address - Fax:
Practice Address - Street 1:500 N CENTRAL EXPY # 500AT
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6772
Practice Address - Country:US
Practice Address - Phone:469-200-6413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty