Organization Name: | JP&P HEALTHCARE AGENCY |
NPI Number: | 1114117371 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOY IFY FLETCHER (OWNER) |
Mailing Address: | 2737 Spring Rain Dr Mesquite |
State: | TX US |
Postal Code: | 751814025 |
Phone Number: | 2144041509 |
Fax Number: | 9723293482 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 04/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |