Organization Name: | TJA MANAGEMENT, LLC |
NPI Number: | 1740555440 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KYLE MICHAEL SMITH (MANAGER) |
Mailing Address: | 1301 S Ih 35 Suite 205 Austin |
State: | TX US |
Postal Code: | 787411173 |
Phone Number: | 6025509995 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2012 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |