Provider Demographics
NPI:1336469097
Name:JEMSON INC
Entity Type:Organization
Organization Name:JEMSON INC
Other - Org Name:RIO GRANDE HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-399-7200
Mailing Address - Street 1:621 S TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6221
Mailing Address - Country:US
Mailing Address - Phone:956-647-5054
Mailing Address - Fax:956-647-5843
Practice Address - Street 1:302 KINGS HWY.
Practice Address - Street 2:SUITE 106
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-5072
Practice Address - Country:US
Practice Address - Phone:956-550-0665
Practice Address - Fax:956-550-8305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEMSON INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-04
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001889701Medicaid
TX8G2997OtherBLUECROSS/BLUESHIELD
TX8G2997OtherBLUECROSS/BLUESHIELD
TXU59553Medicare UPIN