Provider Demographics
NPI:1265039671
Name:JANE'S HEALTHCARE LLC
Entity Type:Organization
Organization Name:JANE'S HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-637-2221
Mailing Address - Street 1:625 PARK WEST DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2861
Mailing Address - Country:US
Mailing Address - Phone:281-637-2221
Mailing Address - Fax:832-900-8675
Practice Address - Street 1:625 PARK WEST DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2861
Practice Address - Country:US
Practice Address - Phone:281-637-2221
Practice Address - Fax:832-900-8675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic