Organization Name: | SJMC PHYSICIAN SERVICES |
NPI Number: | 1083975312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN A DEMKE (CEO) |
Mailing Address: | 1401 St Joseph Pkwy (attn: Sjmc Physician Services) Houston |
State: | TX US |
Postal Code: | 770028301 |
Phone Number: | 7137571000 |
Fax Number: | 7136577123 |
NPI Enumeration Date: | 06/04/2012 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |