| J & L Medical Pllc | |
|
501 E Washington Ave Navasota TX 77868-3001 | |
| (936) 825-6444 | |
| Not Available |
| Full Name | J & L Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 501 E Washington Ave, Navasota, Texas |
| Authorized Official Name and Position | Jordan Conway (PRESIDENT) |
| Authorized Official Contact | 9366359456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J & L Medical Pllc Po Box 237 Navasota TX 77868-0237 Ph: () - | J & L Medical Pllc 501 E Washington Ave Navasota TX 77868-3001 Ph: (936) 825-6444 |
| NPI Number | 1376151480 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 07/15/2020 |
| Medicare PECOS PAC ID | 5799100152 |
|---|---|
| Medicare Enrollment ID | O20200731001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376151480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jordan William Conway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497296610 PECOS PAC ID: 9133541469 Enrollment ID: I20200615003255 |
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