1861053738 NPI number — JONES ER PHYSICIANS STAFFING INC

Table of content: JONATHON MCJILTON SR. P.A. (NPI 1740689330)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861053738 NPI number — JONES ER PHYSICIANS STAFFING INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JONES ER PHYSICIANS STAFFING INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861053738
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2320 S SHEPHERD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77019-7014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-526-2320
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17030 NW FWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JERSEY VILLAGE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77040-1108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-232-0600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/21/2019

Additional Information

Authorized Official

Authorized Official Last Name:
LUNA
Authorized Official First Name:
HORTENCIA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
832-978-6353

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1134489867 . This is a "KHALED ATTIA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1235364167 . This is a "ALLISON DAUM" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1417903956 . This is a "NPI REGISTRY" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1124225453 . This is a "JOSE ORDONEZ" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1417180324 . This is a "AKBAR AMIRAFSHARI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1295757060 . This is a "SUZANNA CRUZ" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1720009590 . This is a "WESLEY NAHM" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1316978059 . This is a "TEXAS NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1700852845 . This is a "ITRAT HOSSAIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1861053738 . This is a "NPPES" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1124281456 . This is a "KIM NGUYEN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1285688093 . This is a "ANGELA LEWIS-TRAYLOR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1508094988 . This is a "JENNY LIU" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1699296012 . This is a "EARL MARSHALL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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