Provider Demographics
NPI:1841863750
Name:JPG SERVICES LLC
Entity type:Organization
Organization Name:JPG SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-769-2301
Mailing Address - Street 1:23144 CINCO RANCH BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2893
Mailing Address - Country:US
Mailing Address - Phone:281-769-2301
Mailing Address - Fax:281-469-2302
Practice Address - Street 1:23144 CINCO RANCH BLVD STE E
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2893
Practice Address - Country:US
Practice Address - Phone:281-769-2301
Practice Address - Fax:281-769-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty