<Unavail>

LBN: Jaaca Medical
<Unavail> is an health care organization with primary practice located at 9334 Chisholm Trl , Tyler TX 75703-0407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jaaca Medical can be contacted via phone (903) 521-9861, or through Watkins, Sanford via phone (903) 521-9861.

Contact Information

Primary practice address
9334 Chisholm Trl Tyler TX 75703-0407
Phone: (903) 521-9861
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Watkins, Sanford
Phone: (903) 521-9861

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M3109 Texas

Profile Details

NPI number 1235487638
LBN Legal business name Jaaca Medical
DBA Doing business as <Unavail>
Authorized official Watkins, Sanford
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2012
Last updated Aug 16th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235487638 NPPES
Texas Other 1992781090 INDIVIDUAL NPI

Popular Providers