Provider Demographics
NPI:1437398567
Name:PROFESSIONAL RESOURCES MANAGEMENT, INC
Entity Type:Organization
Organization Name:PROFESSIONAL RESOURCES MANAGEMENT, INC
Other - Org Name:TRI MED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-386-0343
Mailing Address - Street 1:5303 VAUGHN RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-1120
Mailing Address - Country:US
Mailing Address - Phone:334-386-0343
Mailing Address - Fax:
Practice Address - Street 1:308 PRAIRIE ST N
Practice Address - Street 2:
Practice Address - City:UNION SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:36089-1417
Practice Address - Country:US
Practice Address - Phone:334-386-0358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty