Provider Demographics
NPI:1740862846
Name:JMMH GULF COAST HEALTHCARE PLLC
Entity type:Organization
Organization Name:JMMH GULF COAST HEALTHCARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-532-3421
Mailing Address - Street 1:2825 NASA PKWY
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-3215
Mailing Address - Country:US
Mailing Address - Phone:281-532-3421
Mailing Address - Fax:281-532-3480
Practice Address - Street 1:2825 NASA PKWY
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-3215
Practice Address - Country:US
Practice Address - Phone:281-532-3421
Practice Address - Fax:877-781-6179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center