Organization Name: | JCSC, PLLC |
NPI Number: | 1033466107 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY CHIMENTI (MANAGING MEMBER) |
Mailing Address: | 6701 Lake Woodlands Dr Spring |
State: | TX US |
Postal Code: | 773822565 |
Phone Number: | 7135327311 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |