J & T Park Enterprises, Ltd. is a
Dietitian, Registered based in Pottsboro, Texas. J & T Park Enterprises, Ltd. is licensed to practice in Texas (license number DT04601) and their current practice location is
788 Cooks Corner Rd, Pottsboro, Texas. It can be reached at their office (for appointments etc.) via phone at
(806) 341-8883.
NPI number for J & T Park Enterprises, Ltd. is 1457614612 and their current mailing address is 788 Cooks Corner Rd, Pottsboro, Texas. J & T Park Enterprises, Ltd.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1457614612.
Healthcare Provider's Profile
Full Name | J & T Park Enterprises, Ltd. |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 788 Cooks Corner Rd, Pottsboro, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457614612
- Provider Enumeration Date: 06/21/2012
- Last Update Date: 08/13/2012
Medical Identifiers
Medical identifiers for J & T Park Enterprises, Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457614612 | NPI | - | NPPES |
1356573166 | Medicaid | TX | |
TXB154636 | Other | TX | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DT04601 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. J & T Park Enterprises, Ltd. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
J & T Park Enterprises, Ltd. 788 Cooks Corner Rd, Pottsboro, TX 75076-6042 Ph: (806) 341-8883 | J & T Park Enterprises, Ltd. 788 Cooks Corner Rd, Pottsboro, TX 75076-6042 Ph: (806) 341-8883 |
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