Provider Demographics
NPI:1679804090
Name:JOJOHA, LLC
Entity Type:Organization
Organization Name:JOJOHA, LLC
Other - Org Name:GIDDINGS MINOR EMERGENCY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:DON
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-643-3300
Mailing Address - Street 1:PO BOX 6989
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-6989
Mailing Address - Country:US
Mailing Address - Phone:325-643-3300
Mailing Address - Fax:
Practice Address - Street 1:721 E AUSTIN ST
Practice Address - Street 2:
Practice Address - City:GIDDINGS
Practice Address - State:TX
Practice Address - Zip Code:78942-3403
Practice Address - Country:US
Practice Address - Phone:979-542-9519
Practice Address - Fax:979-542-9428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-25
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty