Provider Demographics
NPI:1275664054
Name:MJHEATH ENTERPRISES
Entity Type:Organization
Organization Name:MJHEATH ENTERPRISES
Other - Org Name:EXPERT MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-244-1105
Mailing Address - Street 1:8323 CAMP BOWIE W
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-6319
Mailing Address - Country:US
Mailing Address - Phone:817-244-1105
Mailing Address - Fax:817-244-9231
Practice Address - Street 1:8323 CAMP BOWIE W
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-6319
Practice Address - Country:US
Practice Address - Phone:817-244-1105
Practice Address - Fax:817-244-9231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167506802Medicaid
TX167506802Medicaid