Provider Demographics
NPI:1851687842
Name:JWSP PLLC
Entity Type:Organization
Organization Name:JWSP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DESIGNATED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:T
Authorized Official - Last Name:POSTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-744-0237
Mailing Address - Street 1:617 N THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76501-3156
Mailing Address - Country:US
Mailing Address - Phone:254-935-2660
Mailing Address - Fax:254-935-2660
Practice Address - Street 1:617 N 3RD ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76501-3156
Practice Address - Country:US
Practice Address - Phone:254-935-2655
Practice Address - Fax:254-935-2660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty