Provider Demographics
NPI:1942671755
Name:JT ISLAND SOLUTIONS CORP
Entity Type:Organization
Organization Name:JT ISLAND SOLUTIONS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ISLAND
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA, DNP
Authorized Official - Phone:832-875-3703
Mailing Address - Street 1:11107 CREMONA CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-4594
Mailing Address - Country:US
Mailing Address - Phone:832-875-3703
Mailing Address - Fax:888-848-6489
Practice Address - Street 1:11107 CREMONA CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-4594
Practice Address - Country:US
Practice Address - Phone:832-875-3703
Practice Address - Fax:888-848-6489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP120147367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty