Provider Demographics
NPI:1316692163
Name:JCS HOPE HEALTH LLC
Entity type:Organization
Organization Name:JCS HOPE HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FNP/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:ARIAS SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:346-314-7358
Mailing Address - Street 1:4478 HIGHWAY 6 N STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3440
Mailing Address - Country:US
Mailing Address - Phone:281-937-4973
Mailing Address - Fax:281-937-4974
Practice Address - Street 1:4478 HIGHWAY 6 N STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3440
Practice Address - Country:US
Practice Address - Phone:281-937-4973
Practice Address - Fax:281-937-4974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty