1194493536 NPI number — S & J DIRECT PRIMARY CARE, PLLC

Table of content: (NPI 1194493536)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194493536 NPI number — S & J DIRECT PRIMARY CARE, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
S & J DIRECT PRIMARY CARE, PLLC
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:
6
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:
1194493536
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 836
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANSFIELD
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76063-0836
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-966-8550
Provider Business Mailing Address Fax Number:
817-612-3261

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5120 CONCHOS TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76017-3024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-966-8550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2021

Additional Information

Authorized Official

Authorized Official Last Name:
DURHAM
Authorized Official First Name:
SHELLEY
Authorized Official Middle Name:
ERIN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
817-966-8550

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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