Jnh Wellness Llc | |
7030 Fm 1488 Rd Ste 220 Magnolia TX 77354-6772 | |
(346) 703-2075 | |
(346) 331-4298 |
Full Name | Jnh Wellness Llc |
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Speciality | Internal Medicine |
Location | 7030 Fm 1488 Rd Ste 220, Magnolia, Texas |
Authorized Official Name and Position | Justin N Hogan (OWNER) |
Authorized Official Contact | 3467032075 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jnh Wellness Llc 7030 Fm 1488 Rd Ste 220 Magnolia TX 77354-6772 Ph: (346) 703-2075 | Jnh Wellness Llc 7030 Fm 1488 Rd Ste 220 Magnolia TX 77354-6772 Ph: (346) 703-2075 |
NPI Number | 1699315564 |
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Provider Enumeration Date | 01/08/2020 |
Last Update Date | 01/08/2020 |
Medicare PECOS PAC ID | 0749694743 |
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Medicare Enrollment ID | O20210203001282 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699315564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Justin N Hogan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104243120 PECOS PAC ID: 0244529048 Enrollment ID: I20180116002349 |
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