Provider Demographics
NPI:1639209703
Name:JMC HEALTHCARE SERVICES PC
Entity Type:Organization
Organization Name:JMC HEALTHCARE SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-766-0231
Mailing Address - Street 1:4915 S MAIN ST STE 116
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4601
Mailing Address - Country:US
Mailing Address - Phone:832-766-0231
Mailing Address - Fax:281-491-2201
Practice Address - Street 1:4915 S MAIN ST STE 116
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4601
Practice Address - Country:US
Practice Address - Phone:832-766-0231
Practice Address - Fax:281-491-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX632043363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156456901Medicaid
TX00106UMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER