| Organization Name: | NJNM CARE |
| NPI Number: | 1073913943 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENT OLSAN (ADMINISTRATOR) |
| Mailing Address: | 19073 I-45 South Suite 145 Shenandoah |
| State: | TX US |
| Postal Code: | 773858744 |
| Phone Number: | 2812927411 |
| Fax Number: | 2812927481 |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |