Provider Demographics
NPI:1558644740
Name:JAD MANAGMENT INC
Entity Type:Organization
Organization Name:JAD MANAGMENT INC
Other - Org Name:TEXAS MEDICAL HOUSE CALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DECANINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-766-8434
Mailing Address - Street 1:7109 ANDOVER CT
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-2093
Mailing Address - Country:US
Mailing Address - Phone:469-766-8434
Mailing Address - Fax:469-442-0622
Practice Address - Street 1:8035 E RL THRTN FWY
Practice Address - Street 2:SUITE 233
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-321-4210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty