Provider Demographics
NPI: | 1326111451 |
---|---|
Name: | JTJ MARKETING |
Entity Type: | Organization |
Organization Name: | JTJ MARKETING |
Other - Org Name: | JTJ REHAB |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JARROD |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | ROGERS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 214-370-0404 |
Mailing Address - Street 1: | 10300 N CENTRAL EXPY |
Mailing Address - Street 2: | #570 |
Mailing Address - City: | DALLAS |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75231-8600 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 214-370-0404 |
Mailing Address - Fax: | 214-370-9880 |
Practice Address - Street 1: | 10300 N CENTRAL EXPY |
Practice Address - Street 2: | #570 |
Practice Address - City: | DALLAS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75231-8600 |
Practice Address - Country: | US |
Practice Address - Phone: | 214-370-0404 |
Practice Address - Fax: | 214-370-9880 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-11-16 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 261QP2000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |