Provider Demographics
NPI:1386236800
Name:JMTIINC
Entity type:Organization
Organization Name:JMTIINC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSLYN
Authorized Official - Middle Name:MAREE
Authorized Official - Last Name:TATUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-573-0547
Mailing Address - Street 1:5700 TENNYSON PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3595
Mailing Address - Country:US
Mailing Address - Phone:469-573-0547
Mailing Address - Fax:800-729-5406
Practice Address - Street 1:5700 TENNYSON PKWY STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3595
Practice Address - Country:US
Practice Address - Phone:469-573-0547
Practice Address - Fax:800-729-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center