Provider Demographics
NPI:1750046744
Name:JMTD MANAGEMENT LLC
Entity Type:Organization
Organization Name:JMTD MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-459-1585
Mailing Address - Street 1:2420 E ARKANSAS LN STE 246
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-1753
Mailing Address - Country:US
Mailing Address - Phone:817-459-1585
Mailing Address - Fax:817-303-4009
Practice Address - Street 1:2420 E ARKANSAS LN STE 246
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-1753
Practice Address - Country:US
Practice Address - Phone:817-459-1585
Practice Address - Fax:817-303-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty